四川精神卫生2024，Vol.37Issue(4)：302-306,5.DOI:10.11886/scjsws20240226004
蓝光照射治疗对改善住院阿尔茨海默病患者认知功能的效果
Efficacy of blue light irradiation in improving cognitive function of inpatients with Alzheimer's disease
摘要
Abstract
Background Alzheimer's disease(AD)is the most common type of dementia.There has been an increasing trend in incidence rate.The drug therapy has been proven ineffective in improving the cognitive function of AD patients or delaying the disease progression,leading to perceived low adherence with treatment and low efficacy.Previous basic research shows that blue light irradiation is helpful to improve the cognitive function of AD model rats,but there is no corresponding clinical study on the improvement effect of blue light irradiation on cognitive function of AD patients.Objective To explore the efficacy of blue light irradiation in improving the cognitive function of AD patients,so as to provide references for cognitive stabilization or improvement of AD patients.Methods A sample of 155 patients who were hospitalized in Geriatric Department of Shenzhen Kangning Hospital from June 2019 to December 2023 and met the International Classification of Diseases,tenth edition(ICD-10)diagnostic criteria for AD were retrospectively selected.Among them,80 cases who received blue light irradiation combined with memantine therapy and conventional psychotherapy were the study group,and 75 cases who only received memantine therapy and conventional psychotherapy were the control group.Blue light irradiation therapy lasted for 4 weeks,5 times per week,with each session lasting for 30 min.Then Mini-Mental State Examination(MMSE)and Activity of Daily Living Scale(ADL)were administered at the baseline and after treatment.Results After treatment,study group reported an increase in MMSE total score,orientation,immediate recall,attention/calculation,delayed recall and language dimension scores(Z=-6.931,-5.773,-4.123,-3.649,-3.508,-4.733,P<0.05),and a decrease in ADL total score(Z=-7.020,P<0.05)compared to baseline data.Analysis indicated that study group scored higher on MMSE total scale,orientation,immediate recall and language dimensions(Z=-2.784,-4.621,-2.483,-3.463,P<0.05),and lower on ADL total score(Z=-3.704,P<0.05)than those of control group after treatment.Conclusion Blue light irradiation for AD patients may improve their cognitive function and activities of daily living.关键词
阿尔茨海默病/光生物调节/蓝光照射/认知功能Key words
Alzheimer's disease/Photobiomodulation/Blue light irradiation/Cognitive function分类
临床医学引用本文复制引用
林亚男,张梁英,王圆龙,罗欣欣,邵园,王永军..蓝光照射治疗对改善住院阿尔茨海默病患者认知功能的效果[J].四川精神卫生,2024,37(4):302-306,5.基金项目
国家科技部重点研发项目(项目名称:睡眠-认知障碍的精准调控与干预,项目编号:2023YFC3603204) （项目名称:睡眠-认知障碍的精准调控与干预,项目编号:2023YFC3603204）
深圳市康宁医院青年科研项目(项目名称:光生物节律调控在AD治疗中的作用及其机制研究,项目编号:KN2023A004) Fund by National Key Research and Development Project of the Ministry of Science and Technology(number,2023YFC3603204) （项目名称:光生物节律调控在AD治疗中的作用及其机制研究,项目编号:KN2023A004）
Youth Research Project of Shenzhen Kangning Hospital(number,KN2023A004) （number,KN2023A004）
