中药复方制剂DM对阿尔茨海默病的临床短期效果观察研究
Study on the Short Term Therapeutic Effect of Chinese Medicine Compound Preparation DM-1 on Alzheimer’s Disease
DOI: 10.12677/PI.2022.113023, PDF,    科研立项经费支持
作者: 买吾拉尼江•依孜布拉:新疆医科大学中心实验室,新疆 乌鲁木齐;浙江大学脑科学脑医学学院,浙江 杭州;帕丽旦•吾术尔:新疆医科大学附属中医医院神志病科,新疆 乌鲁木齐;多力坤•马木特:新疆乌鲁木齐沙乐美生物科技有限公司,新疆 乌鲁木齐
关键词: 阿尔茨海默病简易智能量表神经精神量表匹茨堡睡眠指数量表Alzheimer’s Disease Mini-Mental State Examination Neuropsychiatric Inventory Pittsburgh Sleep Quality Index
摘要: 目的:观察DM对阿尔茨海默病(AD)患者的短期治疗效果。方法:选取2016年6月~2017年6月期间在多力坤医生处就诊的30例AD病人,用中药复方制剂DM进行治疗。4周后观察AD患者简易智能量表(Mini-Mental State Examination, MMSE)、神经精神量表(Neuropsychiatric Inventory, NPI)分数及睡眠紊乱明显的AD患者匹茨堡睡眠指数量表(Pittsburgh Sleep Quality Index, PSQI)分数变化情况,并评估中药复方制剂DM对AD患者的疗效。结果:通过治疗四周后NPI和PSQI分数明显降低,MMSE分数明显增高,治疗前后差异均有统计学意义(P < 0.001),并总有效率为86.7%。结论:DM药治疗对AD患者认知能力,精神状态以及睡眠质量的改善有显著的疗效。
Abstract: Objective: To observe the short-term therapeutic effect of DM-1 (DM-1 is a kind of traditional Chinese herb extractive, named DM-1 for the present) on Alzheimer’s disease. Methods: from June 2016 to June 2017, 30 cases of AD patients who were actively seeking for Dr. Dolkun were treated with DM-1. After 4 weeks, the changes in the score of Mini-Mental State Examination (MMSE), Neuropsychiatric Inventory (NPI) of AD patients, and score of Pittsburgh Sleep Quality Index (PSQI) of AD patients with obvious sleep disorders were observed, and the effect of DM-1 drugs on AD pa-tients was evaluated. Results: The scores of NPI and PSQI decreased significantly, the MMSE score increased significantly after four weeks of treatment, the difference between before and after treatment was statistically significant (P < 0.001), the total effective rate was 86.7%. Conclusion: The preliminary results of this study suggest that DM-1 can significantly improve the learning and memory ability, mental state and sleep quality of patients with Alzheimer's disease in short-term.
文章引用:买吾拉尼江•依孜布拉, 帕丽旦•吾术尔, 多力坤•马木特. 中药复方制剂DM对阿尔茨海默病的临床短期效果观察研究[J]. 药物资讯, 2022, 11(3): 189-194. https://doi.org/10.12677/PI.2022.113023

参考文献

[1] 武力勇, 郝树森. 阿尔茨海默病的精准诊疗[J]. 脑与神经疾病杂志, 2018, 26(1): 52-57.
[2] Chan, K.Y., Wang, W., Wu, J.J., et al. (2013) Epidemiology of Alzheimer’s Disease and Other Forms of Dementia in China, 1990-2010: A Systematic Review and Analysis. The Lancet, 381, 2016-2023. [Google Scholar] [CrossRef
[3] Talbot, K., Wang, H.Y., Kazi, H., et al. (2004) Demonstrated Brain Insulin Resist in Alzheimer Disease. European Journal of Pharmacology, 490, 115-125. [Google Scholar] [CrossRef] [PubMed]
[4] 郑卫莉, 郑静. 中医治疗老年痴呆患者对其日常生活能力改善效果观察[J]. 中国现代药物应用, 2016, 10(5): 252-253.
[5] 孙蓉, 宋绍霏, 张通. 阿尔茨海默病药物治疗的现状及展望[J]. 中国临床保健杂志, 2020, 23(2): 153-156.
[6] Gu, X.H., Xu, L.J., Liu, Z.Q., et al. (2016) The Flavo-noid Baicalein Rescues Synaptic Plasticity and Memory Deficits in a Mouse Model of Alzheimer’s Disease. Behavioural Brain Research, 311, 309-321. [Google Scholar] [CrossRef] [PubMed]
[7] 李建忠, 郝兴华, 李莎, 等. 快速老化小鼠学习记忆能力与海马CA1区神经元丢失相关性探讨[J]. 长治医学院学报, 2014(2): 91-94.
[8] 阿布杜萨拉木•阿吾提, 多力坤•马木特, 卡迪尔亚•卡衣沙尔, 等. 中药提取物DM-1对阿尔茨海默病小鼠能量代谢及中枢胆碱能神经功能的影响[J]. 中国临床药理学杂志, 2020, 36(17): 2668-2671.
[9] 张生林, 辛惠春, 高兵兵, 等. 阿尔茨海默病与血管性痴呆的鉴别诊断[J]. 中西医结合心脑血管病杂志, 2003, 1(4): 204-206.
[10] 郑立学. 某医院住院老年患者痴呆检出率及相关因素分析[D]: [硕士学位论文]. 济南: 山东大学, 2010.
[11] 温咪咪, 张晓凡, 张旻. 城市与农村Alzheimer’s病患者神经心理损害特征的比较研究[J]. 临床神经病学杂志, 2021, 34(5): 352-357.
[12] 张炜霞, 陈洁, 汪立梅, 等. 妊娠晚期孕妇睡眠障碍相关因素及护理干预效果[J]. 护理研究, 2008, 22(28): 2570-2572.
[13] 胡小军, 余长江, 李俊, 等. 补肾通络汤治疗阿尔茨海默病40例的临床分析[J]. 中国实验方剂学杂志, 2015, 21(11): 182-185.
[14] 李潭, 张萌, 林韬, 等. 阿尔茨海默病治疗药物的研究现状[J]. 中国临床药理学杂志, 2019, 35(19): 2479-2482.
[15] 万素馨, 方伟. 阿尔茨海默病的治疗药物作用机制研究进展[J]. 现代药物与临床, 2018, 33(12): 3406-3410.
[16] 蒋平静, 傅一笑. 阿尔茨海默病行为和精神症状的治疗研究进展[J]. 现代医药卫生, 2019, 35(17): 2657-2660.
[17] 王晓珍, 王蓉. 阿尔茨海默病的药物治疗及研发进展[J]. 中国新药杂志, 2019, 28(24): 2960-2964.