喹硫平治疗双相情感障碍的临床效果观察

Clinical observation of quetiapine in the treatment of bipolar disorder

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

广东省汕头市第四人民医院精神科 ;

摘要
目的:观察喹硫平治疗双相情感障碍的临床效果。方法:以2017年6月-至2018年12月为时间段,选取我院收治的双相情感障碍患者86例,将其随机分为2组,各43例。采用碳酸锂联合喹硫平治疗对照组,单纯采用喹硫平治疗观察组。比较两组治疗前后BRMS评分变化、临床效果、生活质量以及不良反应。结果:在BRMS评分上,两组治疗前对比无统计学差异(P>00.05);而治疗后2w、4w、6w时观察组改善情况优于对照组,二者对比存在统计学差异(P<0.05)。在治疗有效率上,对照组总体为86.05%(37/43),观察组总体为88.37%(38/43),二者对比无统计学差异(P>0.05)。在生活质量方面,两组躯体、社会、生理功能、情感职能等评分对比存在统计学差异(P<0.05)。在不良反应方面,对照组发生率为18.6%(8/43),观察组发生率为4.65%(2/43),二者对比存在统计学差异(P<0.05)。结论:双相情感障碍患者采取碳酸锂+喹硫平与单用喹硫平治疗的总体疗效相当,而后者的起效更快,且不良反应更少,还能显著改善患者生活质量,具有较高的安全性,因此值得推广和应用。
Abstract
Objective: To observe the clinical effect of quetiapine in the treatment of bipolar disorder. Methods: From June 2017 to December 2018, 86 patients with bipolar disorder who were admitted to our hospital were randomly divided into 2 groups, 43 cases each. The control group was treated with lithium carbonate combined with quetiapine, and the observation group was treated with quetiapine alone. The changes of BRMS score, clinical effect, quality of life and adverse reactions were compared before and after treatment. RESULTS: There was no significant difference in the BRMS score between the two groups before treatment (P>00.05). The improvement of the observation group at 2w, 4w and 6w after treatment was better than that of the control group. There was a statistical difference between the two groups (P< 0.05). In the treatment efficiency, the control group was 86.05% (37/43), and the observation group was 88.37% (38/43). There was no significant difference between the two groups (P>0.05). In terms of quality of life, there were statistical differences in the scores of physical, social, physiological, and emotional functions between the two groups (P<0.05). In terms of adverse reactions, the incidence of the control group was 18.6% (8/43), and the incidence of the observation group was 4.65% (2/43). There was a statistically significant difference between the two groups (P<0.05). Conclusion: The overall efficacy of lithium carbonate + quetiapine in the treatment of patients with bipolar disorder is comparable to that of quetiapine alone, while the latter has a faster onset of action and fewer adverse reactions, and can significantly improve the quality of life of patients. High security, so it is worth promoting and applying.
关键词
双相情感障碍;喹硫平;碳酸锂;临床效果
KeyWord
bipolar disorder; quetiapine; lithium carbonate; clinical effect
基金项目
页码 55-57
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马淑君*. 喹硫平治疗双相情感障碍的临床效果观察 [J]. 国际精神病学杂志. 2020; 47; (1). 55 - 57.

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