利培酮与氟哌啶醇治疗儿童抽动障碍的效果及安全性对比分析
Comparative analysis of the efficacy and safety of risperidone and haloperidol in the treatment of children with tic disorder
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| DOI |
| 刊名 |
Journal of International Psychiatry
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| 年,卷(期) |
2020, 47(1) |
| 作者 |
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| 作者单位 |
鹤壁市人民医院儿科 ;
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| 摘要 |
对比分析儿童抽动障碍患者应用利培酮与氟哌啶醇的治疗效果与安全性。方法 将我院85例儿童抽动障碍患者采用随机数字表法分组,对照组42例给予氟哌啶醇口服治疗,观察组43例给予利培酮口服治疗,对比两组患者治疗后单胺类神经递质水平变化、症状体征变化、临床疗效及不良反应。结果 两组患者治疗后NE、DA水平均明显升高,5-HT水平及YGTSS评分显著降低,观察组治疗2、4、8周TESS评分均低于对照组,治疗2周末YGTSS评分高于对照组(P<0.05);观察组NE、DA、5-HT水平、总有效率及治疗4、8周末YGTSS评分与对照组无统计学意义(P>0.05)。结论 利培酮与氟哌啶醇均能够有效调节儿童抽动障碍患者单胺类神经递质水平,改善症状体征,利培酮起效慢,不良反应少,更适合儿童药药治疗。
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| Abstract |
Objective To compare the efficacy and safety of risperidone and haloperidol in children with tic disorder. Methods Eighty-five children with tic disorder in our hospital were randomly assigned to a randomized digital table. 42 patients in the control group were treated with haloperidol orally, and 43 patients in the observation group were treated with risperidone. The monoamines in the two groups were compared. Changes in transmitter levels, changes in symptoms and signs, clinical outcomes, and adverse effects. Results The levels of NE and DA were significantly increased in the two groups after treatment. The 5-HT level and YGTSS score were significantly lower. The TESS scores of the observation group were lower than those of the control group at 2, 4, and 8 weeks. The YGTSS score was higher than the control at the 2nd week of treatment. The group (P<0.05); the levels of NE, DA, 5-HT in the observation group, the total effective rate and the YGTSS scores at the 4th and 8th week of treatment were not statistically significant (P>0.05). Conclusion Both risperidone and haloperidol can effectively regulate the levels of monoamine neurotransmitters in children with tic disorder, improve symptoms and signs, risperidone has slow onset and less adverse reactions, and is more suitable for childrens drug treatment.
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| 关键词 |
利培酮;氟哌啶醇;儿童;抽动障碍;安全性
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| KeyWord |
risperidone; haloperidol; children; tic disorder; safety
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| 基金项目 |
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| 页码 |
92-94 |
王小勇*.
利培酮与氟哌啶醇治疗儿童抽动障碍的效果及安全性对比分析 [J].
国际精神病学杂志.
2020; 47; (1).
92 - 94.