氨磺必利与喹硫平治疗精神分裂症的疗效和安全性对比分析

Comparative analysis of efficacy and safety of amisulpride and quetiapine in the treatment of 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
目的:对比分析氨磺必利与喹硫平治疗精神分裂症的疗效和安全性。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:一组氨磺必利组(30例),一组喹硫平组(30例),统计分析两组患者的PNASS评分、临床疗效、不良反应发生情况。结果:两组患者治疗后的一般精神病理、阳性症状、阴性症状评分及PANSS总分均显著低于治疗前(P<0.05);治疗前后两组患者的一般精神病理、阳性症状、阴性症状评分及PANSS总分之间的差异均不显著(P>0.05)。氨磺必利组、喹硫平组患者治疗的总有效率90.0%(27/30)、86.7%(26/30)之间的差异不显著(P>0.05)。氨磺必利组患者的不良反应发生率23.3%(7/30)显著低于喹硫平组43.3%(13/30)(P<0.05)。结论:氨磺必利与喹硫平治疗精神分裂症的疗效相当,但氨磺必利较喹硫平安全性高,值得在临床推广应用。
Abstract
Objective: To compare the efficacy and safety of amisulpride and quetiapine in the treatment of 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 amisulpride (30 cases) and a group of quetiapine groups (30 cases). The PNASS scores, clinical efficacy, occurrances of adverse reactions of the two groups were statistically analyzed. Results: The general psychopathology, positive symptoms, negative symptom scores and PANSS scores after treatment of the two groups were significantly lower than before treatment (P<0.05). The differences of general psychopathology, positive symptoms, and negative symptom scores and total scores of PANSS before and after treatment between the two groups were not significant (P>0.05). The difference of total effective rate of treatment between the amisulpride group and quetiapine group 90.0% (27/30), 86.7% (26/30) was not significant (P>0.05). The incidence of adverse reactions of the amisulpride group 23.3% (7/30) was significantly lower than the quetiapine group 43.3% (13/30) (P<0.05). Conclusion: Amisulpride is equivalent to quetiapine in the treatment of schizophrenia, but amisulpride is safer than quetiapine, so is worthy of promotion and application in the clinical.
关键词
氨磺必利;喹硫平;精神分裂症;疗效;安全性
KeyWord
Amisulpride; Quetiapine; Schizophrenia; Efficacy; Safety
基金项目
页码 854-855
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陈春*. 氨磺必利与喹硫平治疗精神分裂症的疗效和安全性对比分析 [J]. 国际精神病学杂志. 2019; 46; (5). 854 - 855.

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