奥氮平与齐拉西酮对精神分裂症患者精神状况及血脂水平的影响

The effect of olanzapine and zilaxidone on the mental state and blood lipid level of schizophrenic patients

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2022, 49(2)
作者
作者单位

昆明市精神病院精神科 ;

摘要
摘要:研究奥氮平与齐拉西酮对精神分裂症患者精神状况及血脂水平的影响。方法 本次研究对象选取我院于2018年11月至2020年10月收治的精神分裂症患者82例,使用随机数字表法分为对照组和治疗组,各41例。对照组患者使用奥氮平片,治疗组患者使用盐酸齐拉西酮胶囊,两组患者均持续治疗2个月。比较两组患者治疗后临床疗效,治疗前后精神状况与血脂水平。结果 治疗组患者的临床总有效率为87.81%,与对照组的78.05%相比差异无统计学意义(P>0.05);与治疗前相比,治疗后两组患者PANSS、CGI-S量表评分均明显下降(P<0.05);组间数据相比差异无统计学意义;与治疗前相比,治疗后,两组患者血清LDL、HDL、CHOL、TG水平均明显升高,治疗组血清LDL水平低于对照组(P<0.05);两组患者血清HDL、CHOL、TG水平组间相比差异无统计学意义(P>0.05)。结论 奥氮平与齐拉西酮精神分裂症患者精神状况均有明显改善,但齐拉西酮对于患者血脂水平影响相对较轻,更加适合精神分裂症患者治疗。
Abstract
Abstract: Objective To study the effect of olanzapine and zilaxidone on the mental state and blood lipid level of schizophrenic patients. Methods 82 schizophrenics patients were selected from our hospital from November 2018 to October 2020. The patients were divided into control group and treatment group by random digital table method, 41 cases respectively. The control group was treated with olanzapine tablets, the treatment group was treated with zilaxidone hydrochloride capsule, and the two groups were treated for 2 months. The clinical effect, mental state and blood lipid level of the two groups were compared. result The total effective rate of the treatment group was 87.81%, which was not statistically significant compared with 78.05% of the control group (P > 0.05); compared with the pre treatment, the scores of PANSS and CGI-S in the two groups were significantly lower (P < 0.05); the difference between the groups was not statistically significant; compared with the pre treatment, the serum LDL, HDL, chol and TG levels of the two groups were significantly increased compared with those before and after treatment The LDL level of the treatment group was lower than that of the control group (P < 0.05), and there was no significant difference between the two groups (P > 0.05). Conclusion olanzapine and zilaxidone have significantly improved the mental status of schizophrenics, but the effect of zolamazone on the blood lipid level is relatively light, which is more suitable for the treatment of schizophrenia.
关键词
关键词:精神分裂症; 奥氮平; 齐拉西酮; 精神状况; 血脂水平
KeyWord
Keywords: Schizophrenia; olanzapine; zilaxidone; mental status; blood lipid level
基金项目
页码 243-245
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顾卫强*. 奥氮平与齐拉西酮对精神分裂症患者精神状况及血脂水平的影响 [J]. 国际精神病学杂志. 2022; 49; (2). 243 - 245.

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