帕利哌酮治疗儿童精神分裂症阴性症状的临床优势分析

Clinical advantage analysis of Paliperidone in treatment of children with schizophrenia of negative symptoms

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(2)
作者
作者单位

重庆市精神卫生中心 ;
重庆市精神卫生中心 ;
第三军医大学心理学院 ;

摘要
【摘要】目的:探讨帕利哌酮治疗儿童精神分裂症阴性症状的临床优势分析。方法:选取2015年6月-2017年5月于本院诊治精神分裂症患儿60例,随机分为帕利哌酮组和阿立哌唑组,各30例,帕利哌酮组给予帕利哌酮治疗,阿立哌唑组给予阿立哌唑治疗,统计分析所有患者临床疗效、阴性症状评定量表(SANS)各项目评分、个人社会功能量表(PSP)评分、症状量表(TESS)评分情况。结果:两组患儿临床疗效无明显差异(P>0.05);治疗后2周帕利哌酮组患儿SANS 5项因子(思维贫乏、情感平淡或迟钝、意志缺乏/情感淡漠、兴趣缺乏/社交缺乏及注意损害)评分开始明显降低和PSP评分开始明显升高,阿立哌唑组治疗后4周开始明显降低和PSP评分开始明显升高,同时段,帕利哌酮组改善程度距高于阿立哌唑组,差异均有统计学意义(P<0.05);两组患儿治疗前、治疗后2、4、8周TESS评分均无明显差异(P>0.05)。结论:帕利哌酮能显著改善精神分裂症儿童各种阴性症状,且起效快、安全性高,同时能改善其社会功能,值得临床作进一步推广。
Abstract
【 Abstract】objective: To discuss the clinical advantage analysis of Paliperidone in treatment of children with schizophrenia of negative symptoms.Methods: 60 children with schizophrenia were selected from June 2015 to May 2017 in our Hospitals and were randomly assigned into observation group and control group(n=30 in each group). Observation group was given Paliperidone to treat, control group was given Aripiprazole to treat. Statistical analyzed all of patients’ clinical curative effect, SANS, PSP, TESSscore Results: Clinical curative effect of two groups had no significant difference (P>0.05). Two weeks after the treatment, observation group’s scores of SANS five components began to decrease and PSP scores began to rise, four weeks after the treatment, control group began to decrease and PSP scores began to rise, at the same time period, SANS five components and PSP scores degree of improvement of observation group was significantly higher than the control group, PSP scores of observation group was significantly higher than the control group, there was statistically significant difference (P<0.05). Before treatment, 2, 4, 8 weeks after treatment, TESS scores f two groups had no significant difference (P>0.05).Conclusions: Paliperidone can significantly improve all kinds of negative symptoms of schizophrenia children, and with quick effect and high safety, can improve its social function at the same time,it’s worth for further clinical promotion.
关键词
【关键词】:帕利哌酮;精神分裂症;阴性症状;儿童
KeyWord
【Keywords】:Paliperidone, schizophrenia, negative symptoms, children
基金项目
页码 250-252
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蒋红梅,刘宝燕*,冯正直,肖晓杨. 帕利哌酮治疗儿童精神分裂症阴性症状的临床优势分析 [J]. 国际精神病学杂志. 2018; 45; (2). 250 - 252.

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