棕榈酸帕利哌酮注射液和口服奥氮平片治疗精神分裂症的疗效、安全性以及社会功能的比较

Comparison of efficacy, safety and social function of pp1m injection and olanzapine tablets in the treatment of schizophrenia: a randomized controlled study

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2024, 51(1)
作者
作者单位

上海市奉贤区精神卫生中心,精一科 ;

摘要
【摘要】目的:比较棕榈酸帕利哌酮(PP1M)注射液和口服奥氮平片治疗精神分裂症的疗效、安全性及对患者社会功能的影响。方法:选定本院2021年8月至2022年12月住院治疗的100例精神分裂症患者,通过随机数字表法分组,对照组50例患者采用奥氮平治疗,研究组50例患者采用PPIM注射液治疗,对比两组PANSS评分减分率、PSP评分、SDSS评分、PRL、PBG、不良反应总发生率。结果:研究组PANSS减分率高于对照组,研究组治疗1周、2周、4周、6周、8周、12周后SDSS评分均低于对照组,差异均存在统计学意义(P<0.05)。研究组治疗1周、2周、4周、6周、8周、12周后PSP评分高于对照组,研究组治疗后PRL高于对照组,差异均存在统计学意义(P<0.05)。研究组治疗后PBG与对照组比较,P>0.05。研究组不良反应总发生率(8.00%)与对照组(10.00%)比较,P>0.05。结论:PPIM注射液可有效改善精神分裂症患者临床症状及社会功能,且不良反应发生率较低,但会引起催乳素增高,故精神分裂症患者在治疗期间应加强催乳素监测。
Abstract
[Abstract] Objective: To compare the efficacy, safety and social function of palmitic acid (pp1m) injection and olanzapine tablets in the treatment of schizophrenia. Methods: 100 schizophrenics patients who were hospitalized from August 2021 to December 2022 were selected. The control group was divided into 50 patients with olanzapine, 50 patients in the study group were treated with PPIM injection, and the total incidence of adverse reactions were compared. Results: the reduction rate of PANSS in the study group was higher than that of the control group, and the SDSS score of the study group was lower than that of the control group after 1 week, 2 weeks, 4 weeks, 6 weeks, 8 weeks and 12 weeks after treatment, and the difference was statistically significant (P < 0.05). The PSP score of the study group was higher than that of the control group after 1 week, 2 weeks, 4 weeks, 6 weeks, 8 weeks and 12 weeks, and PRL in the study group was higher than that of the control group (P < 0.05). PBG in the study group was compared with the control group (P > 0.05). The total incidence of adverse reactions in the study group (8.00%) was compared with that of the control group (10.00%), P>0.05. Conclusion: PPIM injection can effectively improve the clinical symptoms and social function of schizophrenics, and the incidence of adverse reactions is low, but it will cause the increase of prolactin. Therefore, the monitoring of prolactin should be strengthened in the treatment of schizophrenia patients.
关键词
【关键词】棕榈酸帕利哌酮;奥氮平;精神分裂症;临床疗效;社会功能
KeyWord
[Key words] palmitic acid, palipiprazone; Olanzapine; Schizophrenia; Clinical effect; social function
基金项目
页码 70-73
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王春莲*. 棕榈酸帕利哌酮注射液和口服奥氮平片治疗精神分裂症的疗效、安全性以及社会功能的比较 [J]. 国际精神病学杂志. 2024; 51; (1). 70 - 73.

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