Effect of Pentoxifylline on the Improvement of Cognition Impairment in Patients with NonDemented Vascular Cognitive Impairment Based on Cerebral Blood Flow
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Effect of Pentoxifylline on the Improvement of Cognition Impairment in Patients with NonDemented Vascular Cognitive Impairment Based on Cerebral Blood Flow
WANG Shaoying, WANG Lidi, LI Jingbing, et al. Effect of Pentoxifylline on the Improvement of Cognition Impairment in Patients with NonDemented Vascular Cognitive Impairment Based on Cerebral Blood Flow. [J]. 21(12):1453-1455(2021)
DOI:
WANG Shaoying, WANG Lidi, LI Jingbing, et al. Effect of Pentoxifylline on the Improvement of Cognition Impairment in Patients with NonDemented Vascular Cognitive Impairment Based on Cerebral Blood Flow. [J]. 21(12):1453-1455(2021) DOI: 10.14009/j.issn.1672-2124.2021.12.008.
Effect of Pentoxifylline on the Improvement of Cognition Impairment in Patients with NonDemented Vascular Cognitive Impairment Based on Cerebral Blood Flow
观察组患者在常规治疗的基础上加用己酮可可碱缓释片治疗。观察两组患者的局部脑血流、神经功能缺损程度评分(neural function defect score
NFDS)、日常生活活动(activity of daily living
ADL)评分和认知功能[简易精神状态检查量表(mini mental status examination
MMSE)、蒙特利尔认知评测量表(Montreal cognitive assessment
MoCA)]评分
并进行药物的安全性评价。结果:与对照组比较
观察组患者治疗1、3和6个月的各脑区血流量显著升高
NFDS评分显著降低
ADL、MMSE和MoCA评分显著升高
上述差异均有统计学意义(P
<
0.05)。观察组、对照组患者的不良反应发生率分别为3.57%(1/28)、7.41%(2/27)
差异无统计学意义(χ
2
=0.001
P=0.974)。结论:己酮可可碱可显著改善非痴呆型血管性认知功能障碍患者的临床症状
提高脑血管的血流量
降低NFDS评分
提高ADL、MMSE和MoCA评分
临床疗效显著
且安全性高。
Abstract
OBJECTIVE: To probe into the effect of pentoxifylline on the improvement of cognition impairment in patients with non-demented vascular cognitive impairment. METHODS: Totally 55 patients with non-demented vascular cognitive impairment admitted into the Eighth People’s Hospital of Hebei Province from Jun. 2019 to Aug. 2020 were selected and divided into control group( 27 cases) and observation group( 28 cases) via random number table. The control group was given conventional therapy
while the observation group was treated with Pentoxifylline sustainedrelease tablets based on the control group. The regional cerebral blood flow
neurological function deficit score( NFDS)
activity of daily living( ADL) score and cognitive function scores[mini mental status examination( MMSE)
Montreal Cognitive Assessment( Mo CA) ]of the two groups were observed
and drug safety evaluation was performed. RESULTS:Compared with the control group
the observation group had significantly higher blood flow in all cerebral regions
significantly lower NFDS score and significantly higher ADL
MMSE and Mo CA scores at 1
3 and 6 months of treatment
all these differences were statistically significant( P
<
0. 05). The incidences of adverse drug reactions of observation group and control group were respectively 3. 57%( 1/28) and 7. 41%( 2/27)
the difference was not statistically significant( χ
2
= 0. 001
P = 0. 974). CONCLUSIONS: Pentoxifylline can effectively improve the clinical symptoms of patients with non-demented vascular cognitive impairment
improve the blood flow volume of cerebral vessel
reduce NFDS scores
promote ADL
MMSE and Mo CA scores
with significant clinical efficacy and high safety.
关键词
非痴呆型脑小血管病老年己酮可可碱认知功能障碍脑血流量
Keywords
Non-demented cerebral small vessel diseaseElderlyPentoxifyllineCognitive impairmentCerebral blood flow
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Related Author
LI Xingang
SHEN Su
WEI Hongtao
CHENG Sheng
DI Xuan
TIAN Shujuan
WANG Xue
GAO Chao
Related Institution
Dept.of Pharmacy, jing FriendshipHospital, Capital Medical University
Dept.of Neurology, the First Hospital of Hebei Medical University
Dept. of Pharmacy,Liuzhou Red Cross Hospital
Dept. of Pharmacy,Liuzhou People’s Hospital
Dept.of Nephrology,the Eighth People’s Hospital of Hebei