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临床表现 临床表现

Arianna R Paolone1, Shehraz Riar2, Shajjan Vejayavarnan3

  • 1Royal College of Surgeons in Ireland, Dublin, Dublin, Ireland.

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概括
此摘要是机器生成的。

双素受体抗剂 (DORAs) 显著降低住院患者的妄想发作的发生率. 对老年人和痴呆症患者需要进一步的研究.

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科学领域:

  • 老年学是一门学科.
  • 药理学 药理学是指药理学的学科.
  • 神经学 神经学

背景情况:

  • 痴呆症和痴呆症是老年人认知障碍的主要原因.
  • 痴呆症可以使痴呆症恶化,是新发性痴呆症的危险因素.
  • 目前的狂妄症药物在老年人中具有不清楚的风险-益处概况.

研究的目的:

  • 系统地审查双素受体对抗剂 (DORAs) 在预防和治疗狂妄症方面的疗效.
  • 与非使用者相比,评估DORA的安全性和有效性.

主要方法:

  • 在 MEDLINE,EMBASE 和 CENTRAL 搜索相关研究.
  • 包括3个随机对照试验和6个观察性研究.
  • 进行重复选,数据抽象,偏差风险和质量评估,随机效应模型元分析.

主要成果:

  • 使用DORA显著降低了妄的总体发病率 (OR0.28,95% CI 0.18-0.42).
  • 在术后患者 (OR 0.24) 和ICU患者 (OR 0.28) 中,DORAs降低了妄想的几率.
  • 在研究设计和设置中观察到一致的预防效应.

结论:

  • 在住院患者中,DORAs对妄有显著的预防作用.
  • 这些发现表明,DORAs可能会减少妄对长期认知衰退的影响.
  • 需要对老年人,痴呆症患者和妄治疗中DORA的使用进行更多的研究.