喹硫平治疗癫痫性精神障碍的疗效及安全性观察

Efficacy and safety of quetiapine in the treatment of epilepsy

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(1)
作者
作者单位

湖北省潜江市精神病医院精神科 ;

摘要
探究喹硫平应用于癫痫性精神障碍患者的临床效果及对患者精神症状的影响,并分析药物的安全性。方法 收集2016年2月份至2019年2月份时间段因癫痫性精神障碍在我院治疗的95例患者,抽签法将患者分为治疗2组,其中对照组(n=47)使用药物利培酮进行临床治疗,研究组(n=48)则使用喹硫平进行临床治疗。当临床治疗结束后使用阳性和阴性症状量表(PANSS)、简明精神病量表、个人和社会功能量表评价患者的精神症状及社会功能,记录不良反应评价安全效果。结果 治疗后研究组的PANSS评分、简明精神病量表评分及不良反应发生率低于对照组(P<0.05);研究组患者的总有效率及个人和社会功能量表评分显著高于对照组(P<0.05)。结论 喹硫平可有效改善癫痫性精神障碍患者的精神症状,并可使个人及社会功能逐渐恢复症状,不良反应少,效果确切。
Abstract
Objective To investigate the clinical effects of quetiapine in patients with epilepsy and its effects on psychotic symptoms, and to analyze the safety of drugs. Methods A total of 95 patients who were treated with epilepsy mental disorder in our hospital from February 2016 to February 2019 were enrolled. The patients were divided into two groups by treatment. The control group (n=47) used the drug risperidone. For clinical treatment, the study group (n=48) was treated with quetiapine for clinical treatment. After the end of clinical treatment, the positive and negative symptom scale (PANSS), the concise psychosis scale, the personal and social function scale were used to evaluate the patients psychiatric symptoms and social function, and the adverse effects were evaluated. Results After treatment, the PANSS score, the simple psychiatric scale score and the incidence of adverse reactions in the study group were lower than those in the control group (P<0.05). The total effective rate and individual and social function scale scores of the study group were significantly higher than those of the control group (P<0.05). P < 0.05). Conclusion Quetiapine can effectively improve the psychiatric symptoms of patients with epilepsy and mental disorders, and can gradually restore symptoms to individuals and social functions, with fewer adverse reactions and more effective results.
关键词
癫痫性精神障碍;喹硫平;利培酮;安全性
KeyWord
epilepsy disorder; quetiapine; risperidone; safety
基金项目
页码 98-100
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舒代明*. 喹硫平治疗癫痫性精神障碍的疗效及安全性观察 [J]. 国际精神病学杂志. 2020; 47; (1). 98 - 100.

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