两种单药方案对女性精神分裂症患者症状控制效果及毒副作用的影响
Influence of ziprasidone and paliperidone application on PANSS scores, PRL and body weight of female patients with schizophrenia
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| DOI |
| 刊名 |
Journal of International Psychiatry
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| 年,卷(期) |
2019, 46(1) |
| 作者 |
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| 作者单位 |
河南省济源市精神卫生服务中心精神病科 ;
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| 摘要 |
【摘要】目的:探讨齐拉西酮与帕利哌酮单药应用对女性精神分裂症患者症状控制效果及毒副作用的影响。方法:研究对象选取我院2014年7月-2016年7月收治女性精神分裂症患者共110例,以随机数字表法分为A组(55例)和B组(55例),分别给予帕利哌酮和齐拉西酮单药治疗;比较两组患者近期治疗总有效率,治疗前后阳性症状评分、阴性症状评分、精神病理评分、PANSS总分、PRL水平,体质量及毒副作用发生率。结果:两组患者近期治疗总有效率比较差异无显著性(p>0.05);两组患者治疗后阳性症状评分、阴性症状评分、精神病理评分及PANSS总分组间比较差异无显著性(p>0.05);B组患者治疗后PRL水平显著低于A组(p<0.05);两组患者治疗前后体质量比较差异无显著性(p>0.05); B组患者治疗后PRL水平显著低于A组(p<0.05);两组患者治疗前后体质量比较差异无显著性(p>0.05);同时两组患者毒副作用发生率比较差异无显著性(p>0.05)。结论:齐拉西酮与帕利哌酮单药应用治疗女性精神分裂症具有相近疗效和安全性,但齐拉西酮单药应用有助于稳定PRL水平,避免高PRL血症出现。
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| Abstract |
Abstract:Objective To investigate the Influence of ziprasidone and paliperidone application on PANSS scores, PRL and body weight of female patients with schizophrenia. Methods 140 female patients with schizophreni were chosen in the period from June 2013 to June 2015 in our hospital and randomly divided into both group including A group (70 patients) with ziprasidone and B group (70 patients) with paliperidone; and the clinical efficacy, the PANSS score, PRL levels and body weight before and after treatment and adverse effects incidence of both groups were compared. Results There was no significant difference in the clinical effects between 2 groups(p>0.05). The PANSS scores after treatment of both groups were significantly better than before treatment(p<0.05). There was no significant difference in the PANSS scores after treatment between 2 groups(p>0.05). The PRL levels after treatment of A group were significantly higher than before treatment(p<0.05). There was no significant difference in the PRL levels of B group between before and after treatment(p>0.05). There was no significant difference in the body weight between 2 groups(p>0.05). There was no significant difference in the adverse effects incidence between 2 groups(p>0.05). Conclusion Ziprasidone and paliperidone application in the treatment of female patients with schizophrenia possess the same clinical effects and safety; but compared with paliperidone application, Ziprasidone application in the treatment of female patients with schizophrenia can efficiently avoid the impact on the PRL levels of patients and reduce the risk of high serum PRL.
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| 关键词 |
齐拉西酮;帕利哌酮;女性;精神分裂症
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| KeyWord |
ziprasidone; paliperidone; female; schizophrenia
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| 基金项目 |
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| 页码 |
103-105 |
李易俗*.
两种单药方案对女性精神分裂症患者症状控制效果及毒副作用的影响 [J].
国际精神病学杂志.
2019; 46; (1).
103 - 105.