喹硫平与阿立哌唑合用及单用喹硫平对精神分裂症患者空腹血糖、血脂的影响

Effects of quetiapine combined with aripiprazole and quetiapine alone on fasting blood glucose and blood lipid of patients with schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(5)
作者
作者单位

苏州市吴江区精神康复医院 ;

摘要
【摘 要】目的:探讨喹硫平与阿立哌唑合用及单用喹硫平对精神分裂症患者空腹血糖、血脂的影响。方法:随机选取2016年8月至2018年8月我院精神分裂症患者60例,随机分为2组:一组喹硫平与阿立哌唑合用组(合用组,30例),一组单用喹硫平组(单用组,30例),统计分析两组患者的空腹血糖、血脂、PANSS评分、临床疗效、不良反应发生情况。结果:合用组患者的GLU、TG、LDL水平均显著低于单用组(P<0.05),G分、N分、P分、PANSS总分均显著低于单用组(P<0.05),治疗的总有效率93.3%(28/30)显著高于单用组76.7%(23/30)(P<0.05)。两组患者的不良反应发生率13.3%(4/30)、13.3%(4/30)之间的差异不显著(P>0.05)。结论:喹硫平与阿立哌唑合用较单用喹硫平对精神分裂症患者空腹血糖、血脂的影响小。
Abstract
Objective: To investigate the effects of quetiapine combined with aripiprazole and quetiapine alone on fasting blood glucose and blood lipids of patients with schizophrenia. Methods: Sixty cases of patients with schizophrenia in our hospital from August 2016 to August 2018 were randomly selected and randomly divided into two groups: a group of quetiapine and aripiprazole (combined group, 30 cases), a group of quetiapine (single-use group, 30 cases), the fasting blood glucose, blood lipids, PANSS scores, clinical efficacy and adverse reactions of the two groups were statistically analyzed. Results: The GLU, TG, and LDL levels of the combination group were significantly lower than the single-use group (P<0.05). The G, N, P scores and PANSS total score were significantly lower than the single-use group (P<0.05). The total effective rate of treatment 93.3% (28/30) was significantly higher than the single-use group 76.7% (23/30)) (P<0.05). The difference of incidences of adverse reactions between the two groups 13.3% (4/30), 13.3% (4/30) was not significant (P>0.05). Conclusion: The combination of quetiapine and aripiprazole has less effect on fasting blood glucose and blood lipid of patients with schizophrenia than quetiapine alone.
关键词
喹硫平;阿立哌唑;精神分裂症;空腹血糖;血脂
KeyWord
Quetiapine; Aripiprazole; Schizophrenia; Fasting blood glucose; Blood lipids
基金项目
页码 843-845
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汪洋*. 喹硫平与阿立哌唑合用及单用喹硫平对精神分裂症患者空腹血糖、血脂的影响 [J]. 国际精神病学杂志. 2019; 46; (5). 843 - 845.

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