阿立哌唑与氯氮平治疗精神分裂症的临床疗效对比观察

Comparison of clinical efficacy of aripiprazole and clozapine in the treatment of schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(1)
作者
作者单位

天津市安定医院 ;

摘要
【摘要】目的:研究并比较阿立哌唑与氯氮平治疗精神分裂症的临床疗效。方法:于2013年1月~2017年1月期间,将该阶段内在我院接受抗精神病药物治疗的120例精神分裂症患者纳入研究作为研究对象,采取计算机随机数字分组法将患者随机分为A组、B组,每组有患者60例,A组患者采用阿立哌唑治疗,B组患者采用氯氮平治疗,比较两组精神分裂症患者的临床疗效、WHO-DAS II评分、PANSS评分、不良反应发生率。结果:A组患者的总有效率为91.67%,B组患者的总有效率为95.00%,两组比较,P>0.05,差异无统计学意义;治疗后,两组患者的WHO-DAS II评分、PANSS评分均较治疗前显著降低(P<0.05),而治疗后A组患者与B组患者的WHO-DAS II评分、PANSS评分比较无统计学差异(P>0.05);A组患者的不良反应发生率为5.00%,B组患者的不良反应发生率为16.67%,两组比较,B组患者的不良反应发生率高于A组(P<0.05)。结论:阿立哌唑、氯氮平治疗精神分裂症患者均可取得显著的临床疗效,可有效减轻患者的精神分裂症状及精神障碍,但阿立哌唑相比于氯氮平用于治疗精神分裂症的药物不良反应相对较少,其用药安全性更高。
Abstract
[Abstract] Objective: To study and compare the clinical efficacy of aripiprazole and clozapine in the treatment of schizophrenia. Methods: from January 2013 January ~2017 year, research as the research object into the stage in our hospital received antipsychotic drug treatment of 120 cases of patients with schizophrenia, take the computer random number table method were randomly divided into A group, B group, each group has 60 patients, A group were treated with aripiprazole treatment, B group were treated with clozapine treatment, compared two groups of patients with clinical curative effect of mental division, WHO-DAS II score, PANSS score, the incidence of adverse reactions. Results: the patients in the A group the total effective rate was 91.67%, B group with the total effective rate was 95%, P>0.05, two groups, the difference was not statistically significant; after treatment, the two groups of patients with WHO-DAS II score, PANSS scores were significantly lower than before treatment (P<0.05), and group A after treatment in patients with B group of patients with WHO-DAS II score, PANSS score had no significant difference (P>0.05); the adverse reactions of patients in group A incidence rate was 5%, the adverse reaction of the patients in the B group the incidence rate of 16.67%, the two groups, the adverse reaction in group B was higher than that of group A (P<0.05). Conclusion: aripiprazole and clozapine the treatment of patients with schizophrenia may have significant clinical efficacy, can effectively reduce the patients symptoms of schizophrenia and mental disorders, but aripiprazole drug compared to clozapine for the treatment of schizophrenia with relatively less adverse reactions, the drug has higher safety.
关键词
【关键词】:精神分裂症;阿立哌唑;氯氮平
KeyWord
[key words]: Aripiprazole; Schizophrenia; Clozapine
基金项目
页码 39-41
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谢筠*,葛红敏, 张旭,黄彦. 阿立哌唑与氯氮平治疗精神分裂症的临床疗效对比观察 [J]. 国际精神病学杂志. 2018; 45; (1). 39 - 41.

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