目的探讨多奈哌齐联合计算机认知矫正疗法(CCRT)治疗轻中度阿尔茨海默病(AD)患者的临床效果。方法选择110例轻中度AD患者为研究对象,将其随机分为观察组(55例)和对照组(55例)。对照组在对症治疗基础上服用盐酸多奈哌齐片,观察组在对照组治疗基础上联合CCRT。治疗前后采用韦氏成人智力量表中文修订版(WAIS-RC)测定两组患者智力商数,采用韦氏成人记忆量表中文修订版(WMS-RC)测量两组患者记忆商数,采用威斯康星卡片分类测验(WCST)评估患者认知功能水平,应用Barthel指数(BI)量表评价患者生活自理能力,使用世界卫生组织生存质量简表(WHOQOL-BREF)评估患者生活质量。结果治疗6个月后观察组WAIS-RC中言语智商、操作智商、全量表智商评分和WMS-RC评分均高于对照组,观察组WCST测评结果均优于对照组,观察组BI量表评分高于对照组,观察组WHOQOL-BREF生理领域、心理领域、社会关系领域、环境领域评分均高于对照组(均P<0.05)。结论多奈哌齐联合CRRT有助于改善轻中度AD患者认知功能、生活自理能力和生活质量。
ObjectiveTo investigate the clinical effect of donepezil combined with computerized cognitive remediation therapy (CCRT) in the treatment of patients with mild to moderate Alzheimer′s disease (AD). MethodsA total of 110 patients with mild to moderate AD were selected as research objects, and they were randomly divided into observation group (55 cases) and control group (55 cases). The control group was given donepezil hydrochloride tablets based on the symptomatic treatment, while the observation group was given CCRT based on the control group. Before and after treatment, the Wechsler Adult Intelligence Scale-Revised Chinese (WAIS-RC), Wisconsin Card Sorting Test (WCST), Barthel index (BI) scale, World Health Organization Quality of Life-BREF (WHOQOL-BREF) were used to evaluate patients′ intelligence quotient, cognitive function level, self-care ability, life quality, respectively. ResultsSix months after treatment, the verbal intelligence quotient, operational intelligence quotient, and total intelligence quotient scores in WAIS-RC and the WMS-RC score in the observation group were higher than those in the control group; the WCST test results in the observation group were superior to those in the control group; the BI scale score in the observation group was higher than that in the control group, and the WHOQOL-BREF scores in the physiological, psychological, social relationship, and environmental domains were higher in the observation group than in the control group(all P<0.05). ConclusionDonepezil combined with CRRT can help improve cognitive function, self-care ability and life quality in patients with mild to moderate AD.