丙戊酸钠联合喹硫平治疗双相情感障碍躁狂发作患者的安全性和有效性评价

Safety and efficacy evaluation of sodium valproate combined with quetiapine in the treatment of bipolar disorder manic episode patients

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(6)
作者
作者单位

宣城市人民医院 临床心理科 ;

摘要
【摘要】目的:探讨双相情感障碍躁狂发作患者联合应用丙戊酸钠与喹硫平治疗的临床效果。方法:于2021年1月-2023年1月采集病例资料入档,对象为医院收治的双相情感障碍躁狂发作患者,共计纳入80例,纳入对象基于“随机数字表法”规范化分组,划分为对照组(予以丙戊酸钠治疗)与观察组(应用丙戊酸钠+喹硫平治疗),各组均80例;观察对比两组临床疗效、阳性及阴性症状(PANSS)、躁狂评分、抑郁程度、不良反应发生率。结果:观察组治疗总有效率较对照组显著高(P<0.05);治疗后,两组贝克-拉范森躁狂评定量表(BRMS)、汉密尔顿抑郁量表(HAMD)评分均呈不同程度降幅,且观察组降幅较对照组更大(P<0.05);治疗后,两组PANSS评分均呈下降趋势,且观察组更低(P<0.05);两组患者不良反应发生率比较(P>0.05)。结论:双相情感障碍躁狂发作患者合用丙戊酸钠与喹硫平治疗,可取得确切疗效,且不良反应少,安全性好。
Abstract
Abstract: Objective: To explore the clinical effect of combining sodium valproate and quetiapine in the treatment of bipolar disorder manic episode patients. Method: Case data were collected and filed from January 2021 to January 2023. The subjects were bipolar disorder manic episode patients admitted to the hospital, with a total of 80 cases included. The subjects were divided into a control group (treated with sodium valproate) and an observation group (treated with sodium valproate and quetiapine) based on a standardized "random number table" method, with 80 cases in each group; Observe and compare the clinical efficacy, positive and negative symptoms (PANSS), manic score, degree of depression, and incidence of adverse reactions between the two groups. Result: The total effective rate of treatment in the observation group was significantly higher than that in the control group (P<0.05); After treatment, the scores of the Beck Ravensen Mania Rating Scale (BRMS) and Hamilton Depression Rating Scale (HAMD) in both groups showed varying degrees of decline, and the observed group had a greater decrease than the control group (P<0.05); After treatment, the PANSS scores of both groups showed a downward trend, and the observation group showed a lower trend (P<0.05); Comparison of adverse reaction rates between two groups of patients (P>0.05). Conclusion: The combination of sodium valproate and quetiapine in the treatment of bipolar disorder manic episode patients can achieve definite therapeutic effects with fewer adverse reactions and good safety.
关键词
【关键词】丙戊酸钠;喹硫平;双相情感障碍;躁狂发作;安全性
KeyWord
Keywords: Sodium valproate; Quintiapine; Bipolar disorder; Manic episodes; Security
基金项目
页码 1376-1379
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冯仁健*. 丙戊酸钠联合喹硫平治疗双相情感障碍躁狂发作患者的安全性和有效性评价 [J]. 国际精神病学杂志. 2023; 50; (6). 1376 - 1379.

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