鼠神经生长因子联合多奈哌齐治疗老年痴呆的效果观察

Efficiency observation of mouse nerve growthfactor combined with donepezil in the treatment of senile dementia

  • 摘要:
      目的  探讨鼠神经生长因子联合多奈哌齐治疗老年痴呆的效果。
      方法  选择64例老年痴呆患者,随机分为2组,各32例。对照组口服多奈哌齐,观察组在对照组基础上联合肌肉注射鼠神经生长因子。比较2组临床疗效。
      结果  观察组总有效率显著高于对照组(P < 0.05)。治疗后, 2组的痴呆评定量表(CDR)评分显著降低(P < 0.05), 简易智力状态检查量表(MMSE)评分显著升高(P < 0.05), 且观察组的CDR和MMSE评分显著优于对照组(P < 0.05)。治疗后,2组的血清白细胞介素-1β(IL-1β)、C反应蛋白(CRP)和IL-6水平显著降低(P < 0.05), 且观察组的血清IL-1β、CRP和IL-6水平显著低于对照组(P < 0.05)。
      结论  鼠神经生长因子联合多奈哌齐可能通过抑制老年痴呆患者部分有害的炎症细胞因子而发挥疗效,缓解痴呆症状,改善认知功能。

     

    Abstract:
      Objective  To explore the effect of mouse nerve growth factor combined with donepezil in the treatment of senile dementia.
      Methods  Totally 64 patients with senile dementia were randomly divided into two groups, with 32 cases in each group. The control group was given donepezil orally, while the observation group was treated with intra-muscular injection of mouse nerve growth factor on the basis of the control group. The clinical efficiency was compared between two groups.
      Results  The total effective rate of the observation group was significantly higher than that of the control group (P < 0.05). After treatment, the Dementia Rating Scale (CDR) score of the two groups significantly reduced (P < 0.05), the simple Mental State Examination Scale (MMSE) score significantly increased (P < 0.05), and the CDR and MMSE scores of the observation group were significantly better than those of the control group (P < 0.05). After treatment, the serum levels of interleukin-1β (IL-1β), C reactive protein (CRP) and IL-6 in the two groups significantly decreased (P < 0.05), and the serum levels of IL-1β, CRP and IL-6 in the observation group were significantly lower than those in the control group (P < 0.05).
      Conclusion  Mouse nerve growth factor combined with donepezil may exert therapeutic effect by inhibiting harmful inflammatory cytokines, alleviating dementia symptoms and improving cognitive function in senile dementia patients.

     

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