临床表现 临床表现
Arianna R Paolone1, Shehraz Riar2, Shajjan Vejayavarnan3
1Royal College of Surgeons in Ireland, Dublin, Dublin, Ireland.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
概括
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.
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.
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