纳洛酮对抗精病药物中毒患者预后认知功能及负面情绪的影响
Effects of naloxone on prognostic cognitive function and negative emotions in patients with antispermatogenic drug poisoning
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| DOI |
| 刊名 |
Journal of International Psychiatry
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| 年,卷(期) |
2023, 50(2) |
| 作者 |
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| 作者单位 |
许昌市中心医院急诊科 ;
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| 摘要 |
【摘要】目的:探究纳洛酮对抗精病药物中毒患者的临床治疗效果及对患者预后认知功能、负面情绪的影响价值。方法:选取我科2020年4月至2021年10月期间109例抗精神病药物中毒患者为研究对象,根据随机数字表法分为两组,对照组54例给予对症治疗,观察组55例在常规治疗的基础上增加纳洛酮治疗,对比两组患者各项指标。结果:治疗后,观察组患者格拉斯哥昏迷评分法(GCS)高于对照组,观察组患者催醒时间、醒后症状维持时间均低于对照组(P<0.05);治疗成功1周后、2周后,观察组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,简易精神状态检查量表(MMSE)评分高于对照组(P<0.05);治疗成功2周后,两组患者椎体外系副反应量表(RSESE)评分对比无明显差异(P>0.05),但观察组患者社会功能缺陷筛查量表(SDSS)评分低于对照组(P<0.05);两组患者并发症发生率对比无明显差异(P>0.05)。结论:纳洛酮可以提高对患者的临床诊疗效果,降低患者负面情绪水平,提高其认知功能水平、社会功能水平,安全性高。
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| Abstract |
[Abstract] Objective: To explore the clinical treatment effect of naloxone in patients with antispermatogenic drug poisoning and its influence value on patients prognostic cognitive function and negative emotions. Method: choose 2020 from April to October 2021 during 109 antipsychotic poisoning patients as the research object, according to random number table method, it can be divided into two groups, the control group in 54 patients with symptomatic treatment, observation group 55 cases on the basis of conventional treatment increase naloxone treatment, compared two groups of patients the indicators. Results: After treatment, the Glasgow Coma scale (GCS) in the observation group was higher than that in the control group, and the wake-up time and maintenance time of symptoms after awakening in the observation group were lower than those in the control group (P < 0.05). After 1 week and 2 weeks of successful treatment, the scores of self-rating anxiety scale (SAS) and Self-rating Depression Scale (SDS) in the observation group were lower than those in the control group, and the mini-Mental State Examination (MMSE) score was higher than that in the control group (P < 0.05). After 2 weeks of successful treatment, there was no significant difference in the RSESE score between the two groups (P > 0.05), but the Social Dysfunction Screening Scale (SDSS) score of the observation group was lower than that of the control group (P < 0.05). There was no significant difference in the incidence of complications between the two groups (P > 0.05). Conclusion: Naloxone can improve the clinical diagnosis and treatment effect of patients, reduce the level of negative emotions, improve the level of cognitive function, social function, and high safety.
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| 关键词 |
【关键词】:纳洛酮;抗精神药物中毒;负面情绪;椎体外系不良反应;认知功能
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| KeyWord |
【Key words】: Naloxone; Poisoning with antipsychotics; Negative emotions; Extracorporeal adverse reactions; Cognitive function
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| 基金项目 |
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| 页码 |
268-271 |
韩永旭*.
纳洛酮对抗精病药物中毒患者预后认知功能及负面情绪的影响 [J].
国际精神病学杂志.
2023; 50; (2).
268 - 271.