Abstract:Objective: To analyze the effect of folic acid-assisted butylphthalide on patients with mild cognitive impairment. Methods: Eighty patients with mild cognitive dysfunction admitted to our hospital from June 2017 to January 2019 were enrolled in the observation group and the control group, 40 cases each. The control group was treated with butylphthalide, and the observation group was combined with folic acid treatment to compare the effects of the two groups on cognitive performance, mental state and adverse hair growth. Results: There was no significant difference in the MoCA scores between the two groups before treatment (P>0.05). The MoCA scores of the two groups increased in the first month and the second month after treatment, and the MoCA scores in the observation group were higher than those in the control group (P<0.05). There was no significant difference in the MMSE scores between the two groups (P>0.05). The MMSE scores were improved in both groups after 1 month and 2 months after treatment, and the scores of the observation group were higher than those in the control group (P<0.05). There was no significant difference between the amplitude and latency (P>0.05). After treatment, the amplitude of both groups increased and the latency decreased (P<0.05). The amplitude of the observation group was higher than that of the control group and the latency was lower than that of the control group (P< 0.05); The incidence of adverse reactions in the observation group was lower than that in the control group (P<0.05). Conclusion: Folic acid-assisted butylphthalide treatment in MCI can effectively improve the mental state and cognitive function of patients, reduce the incidence of adverse reactions, and has high safety and is worthy of application.
[1] 陈娜,陆连生,李虹,等.丁苯酞序贯治疗急性脑梗死合并认知功能障碍患者的疗效及其对炎性因子的影响[J].疑难病杂志,2017,16(2):117~120. [2] 中国防治认知功能障碍专家共识专家组.中国防治认知功能障碍专家共识[J].中华内科杂志,2006,45(2):171~173. [3] 王东枝.丁苯酞联合奥拉西坦治疗轻度血管性认知功能障碍的有效性和安全性[J].中国医药导报,2016,13(29):52~55. [4] 胡艳群,张立力,钟薇,等.自适应认知训练对非痴呆型血管性认知障碍患者认知能力和生活质量的影响[J].海南医学,2017,28(16):50~53. [5] Fei M, Wu Tianfeng, Zhao Jiangang, et al. Plasma homocysteine and serum folate and vitamin B12 levels in mild cognitive impairment and alzheimer's disease: a case-control study[J]. Nutrients, 2017, 9(7):725. [6] 王慧琪,宋开义,杨平,等.不同认知损害的痴呆患者血浆同型半胱氨酸水平及VitB12和叶酸的干预效果研究[J].宁夏医科大学学报,2015,37(4):393~396. [7] 段瑞生,齐亚超,尹楠,等.丁苯酞对血管性轻度认知功能障碍患者S100和MBP的影响[J].中国医院药学杂志,2017,37(9):866~868. [8] Tian S, Han, Jing, Huang, Rong, et al. Increased plasma homocysteine level is associated with executive dysfunction in type 2 diabetic patients with Mild cognitive impairment[J]. Journal of Alzheimers Disease Jad, 2017, 58(4):1~11. [9] 张海红.依那普利叶酸片对H型高血压合并轻度认知功能障碍患者认知的影响[J].中国心血管病研究,2017,15(12):148~154. [10] 王琳,修明文,丁俊丽.叶酸、B族维生素对合并高同型半胱氨酸血症脑梗死病人认知功能的影响[J].中西医结合心脑血管病杂志,2017,15(12):1509~1510. [11] Bahous R H, Jadavji, Nafisa M, Deng, Liyuan, et al. High dietary folate in pregnant mice leads to pseudo-MTHFR deficiency and altered methyl metabolism, with embryonic growth delay and short-term memory impairment in offspring[J]. Human Molecular Genetics, 2017, 26(5):ddx004. [12] 靳玫,马世江,沈长波,等.丁苯酞对脑梗死认知障碍患者记忆运动及事件相关电位的影响[J].重庆医学,2017,46(14):1907~1909. [13] 朱晓颖,戈艳蕾,王红阳,等.无创正压通气联合丁苯酞对OSAHS患者认知障碍的疗效[J].实用药物与临床,2019,22(1):33~36.