Huperzine A与在全身麻醉下进行神经外科手术后改善早期术后认知功能有关:一项随机临床试验
Zhongding Zhang1, Yiman Shen1, Juan Li2
1Department of Neurosurgery, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
International journal of surgery (London, England)
|December 11, 2025
概括
手术后的神经认知障碍可以通过Huperzine A注射得到改善. 这项研究发现,在接受神经外科手术的患者中,Huperzine A显著提高了认知功能得分.
科学领域:
- 神经外科 神经外科
- 麻醉学 麻醉学
- 神经科学是一个神经科学.
背景情况:
- 手术后神经认知障碍 (PNCD) 是手术和麻醉后的常见并发症.
- 胡素A是一种乙胆酶抑制剂,在治疗认知障碍方面表现有前途.
研究的目的:
- 评估术后Huperzine A注射在改善神经外科患者早期认知功能的有效性.
- 评估Huperzine A在神经外科手术后的最初96小时对认知负担的影响.
主要方法:
- 一个平行组随机试验,涉及成人神经外科患者在全身麻醉下.
- 患者接受了术后的Huperzine A注射或标准护理.
- 在96小时内,使用迷你精神状态检查 (MMSE) 评估认知功能.
主要成果:
- 与对照组相比,Huperzine A组的认知功能下降明显较小.
- 在96小时的MMSE平均得分 (AUC0-96h) 在Huperzine A组显著更好 (P=0.010).
- 与基线相比,MMSE得分的变化也得到了Huperzine A (P=0.021) 的显著改善.
结论:
- 术后Huperzine A的使用显著改善了接受神经外科手术的成年人MMSE得分.
- 胡素A是一种潜在的治疗剂,可以缓解神经外科手术后的早期认知衰退.
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