Dergi Ara >>
Yıl:2001; Cilt: 1; Sayı: 4>> Özet
Demans Dergisi; 2001;1(4):110-120
Alzheimer Hastalığında Donepezil Hidroklorür Etkinliğinin Kantitatif EEG ile Değerlendirilmesi
Ü Altın, L Hanoğlu, A Altunhalka, A Karagöz, D Kırbaş
Bakırköy Ruh Sağl. ve Sinir Hast. Hastanesi, İstanbul
Son yıllarda yapılan değişik çalışmalarda "Kantitatif
Elektroensefalografi"nin (KEEG) Alzheimer hastalığının
progresyonunu izlemek ve prognozunu
kestirmek için kullanılabilir bir yöntem olduğu
ortaya konulmuştur. Belli bir dönem boyunca takip
edilen Alzheimer hastalarının KEEG'lerinde ortaya
çıkan değişikliklerle hastalardaki bilişsel yıkım
arasında belirgin bir ilişki olduğu saptanmıştır.
Son bir kaç yıl içinde Alzheimer'lı hastaların bilişsel
işlevleri üzerine etkili olduğu kanıtlanan tedavi
yaklaşımları da ortaya çıkmıştır. Asetilkolin esterazı
(AchE) inhibe eden bir grup ilacın erken ve orta
evredeki Alzheimer hastalarının bilişsel işlevlerini
bir süre için bir miktar düzelttikleri gösterilmiştir.
Bu gelişmelerden yola çıkarak, bu çalışmada
yukarıda sözü edilen türden bir ilaç olan "donepezil
hidroklorürün" Alzheimer hastalarında bilişsel ve
davranışsal bozukluklardaki etkinliğini gösteren
davranışsal skalalardaki değişikliklerle aynı hastaların
KEEG paternlerindeki değişikliklerin
karşılaştırılması amaçlandı.
Bu çalışmadan elde edilecek sonuçların, Alzheimer
hastalarının verilen ilaçtan hangi düzeyde yararlanacaklarını
önceden kestirmek ve buna göre doz
artışı yapılıp yapılmamasına karar vermek için
geçerli ölçütler sağlanıp sağlanamayacağı ve bu
ilaçlarla hastalığın progresyonunun gerçek anlamda
yavaşlatılıp yavaşlatılamayacağı gibi sorulara
yanıt olacak veriler için bir ilk yaklaşım oluşturabileceği
düşünüldü.

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