低剂量氨磺必利配合奥氮平治疗难治性精神分裂患者的效果及其对睡眠及认知功能的影响

Effect of low-dose amisulpride combined with olanzapine on patients with refractory schizophrenia and its effect on sleep and cognitive function

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(5)
作者
作者单位

驻马店市第二人民医院 ;

摘要
分析难治性精神分裂症患者应用低剂量氨磺必利联合奥氮平治疗后效果。方法 将我院125例难治性精神分裂症患者采用随机数字表法进行分组,对照组62例应用奥氮平口服治疗,观察组63例增加氨磺必利低剂量口服治疗,对比两组患者治疗后认知功能、症状变化、睡眠质量、生活质量、神经因子水平变化及不良反应发生率。结果 治疗后,观察组Hcy、GFAP水平、PANSS、PSQI评分、WCST测验随机错误数、持续错误数、低于对照组,WCST测验正确次数、完成分类数、NGF水平、SF-36评分、总有效率高于对照组(P<0.05);不良反应无统计学意义(P>0.05)。结论 低剂量氨磺必利联合奥氮平能够有效调节难治性精神病患者神经损伤因子,促进患者认知功能恢复,提升患者睡眠质量及生活质量,安全性高。
Abstract
Objective To analyze the effect of low-dose amisulpride combined with olanzapine in patients with refractory schizophrenia. Methods 125 patients with refractory schizophrenia in our hospital were divided into two groups by random number table method: 62 patients in the control group were treated with olanzapine orally, and 63 patients in the observation group were treated with low-dose amisulpride. The two groups were compared. Cognitive function, changes in symptoms, quality of sleep, quality of life, changes in neuronal factor levels, and incidence of adverse reactions after treatment. Results After treatment, the observation group Hcy, GFAP level, PANSS, PSQI score, WCST test random errors, continuous errors, lower than the control group, the correct number of WCST tests, the number of completed classifications, NGF level, SF-36 score, total The efficiency was higher than that of the control group (P <0.05); the adverse reactions were not statistically significant (P> 0.05). Conclusion Low-dose amisulpride combined with olanzapine can effectively regulate nerve injury factors in patients with refractory psychosis, promote patients cognitive function recovery, improve patients sleep quality and quality of life, and have high safety.
关键词
低剂量;氨磺必利;奥氮平;难治性精神分裂症;睡眠质量;认知功能
KeyWord
low-dose; amisulpride; olanzapine; refractory schizophrenia; sleep quality; cognitive function
基金项目
页码 921-924
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何磊*. 低剂量氨磺必利配合奥氮平治疗难治性精神分裂患者的效果及其对睡眠及认知功能的影响 [J]. 国际精神病学杂志. 2020; 47; (5). 921 - 924.

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