喹硫平和奥氮平联合治疗精神分裂症的临床效果及对患者的抑郁、焦虑评分影响

Clinical effect of quetiapine and olanzapine in the treatment of schizophrenia and its influence on depression and anxiety scores of patients

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2024, 51(3)
作者
作者单位

开封市第五人民医院 精神科 ;

摘要
【摘要】目的:探讨喹硫平和奥氮平联合在精神分裂症治疗中的价值。方法:遵循随机原则,选择2020年4月~2022年4月在我院确诊为精神分裂症的80例患者,以入院单双数分组,对照组(单数)实施奥氮平治疗,观察组(双数)选择奥氮平+喹硫平治疗,每组40例。评估临床治疗效果,并评估治疗前后各项症状评分、认知情况、心理状态。结果:观察组的临床疗效95.00%,高于对照组的80.00%,差异存在统计意义(P<0.05);观察组阳性症状、阴性症状、一般症状、总分,较对照组降低(P<0.05);观察组强化记忆、联想学习、图形回忆、人像特点回忆评分,较对照组升高(P<0.05);观察组焦虑、抑郁评分,较对照组明显降低(P<0.05)。结论:在精神分裂症治疗中,选择奥氮平+喹硫平的方案可改善阳性、阴性症状评分,在促进其认知功能恢复的同时缓解其焦虑、抑郁状态。
Abstract
[Abstract] Objective: To explore the value of quetiapine and olanzapine in the treatment of schizophrenia. Methods: Following the principle of randomization, 80 patients with schizophrenia diagnosed in our hospital from April 2020 to April 2022 were randomly divided into two groups. The control group (odd number) was treated with olanzapine, and the observation group (odd number) was treated with olanzapine+quetiapine, with 40 patients in each group. Evaluate the clinical treatment effect, and evaluate the symptom score, cognitive status and psychological status before and after treatment. Results: The clinical efficacy of the observation group was 95.00%, higher than that of the control group (80.00%, P<0.05); The positive symptoms, negative symptoms, general symptoms and total scores of the observation group were lower than those of the control group (P<0.05); The scores of enhanced memory, associative learning, figure memory and portrait feature memory in the observation group were higher than those in the control group (P<0.05); The scores of anxiety and depression in the observation group were significantly lower than those in the control group (P<0.05). Conclusion: In the treatment of schizophrenia, the scheme of quetiapine+quetiapine can improve the score of positive and negative symptoms, promote the recovery of cognitive function and relieve anxiety and depression.
关键词
关键词:喹硫平;奥氮平;精神分裂症;抑郁;焦虑;图形回忆;认知功能
KeyWord
Key words: quetiapine; Olanzapine; Schizophrenia; Depression; Anxiety; Graphic memory; cognitive function
基金项目
页码 720-722
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陈延会*. 喹硫平和奥氮平联合治疗精神分裂症的临床效果及对患者的抑郁、焦虑评分影响 [J]. 国际精神病学杂志. 2024; 51; (3). 720 - 722.

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