重复经颅磁刺激联合帕利哌酮缓释片治疗精神分裂症的随机双盲对照试验

Randomized double-blind controlled trial of repeated transcranial magnetic stimulation combined with paliperidone sustained-release tablets in the treatment of schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(4)
作者
作者单位

重庆市精神卫生中心 ;

摘要
[摘要]目的:比较重复经颅磁刺激联合帕利哌酮缓释片与唯一帕利哌酮缓释片治疗精神分裂症患者的疗效、安全性、智力状态和社会功能恢复,为临床选择治疗方案提供参考依据。方法:选择符合条件的88例精神分裂症患者,随机分成研究组和对照组,治疗时间为4w。在治疗前和治疗后第1w、第2w、第4w末,用阳性与阴性症状量表(PANSS)及减分率评定疗效,治疗时出现的症状量表(TESS)评定不良反应,简易智力状态检查(MMSE)评定智力状态,个体和社会功能量表(PSP)评定患者的社会功能。结果:治疗后,与各组治疗前比较,两组PANSS、MMSE、PSP均有明显改善,具有统计学意义(P<0.05);组间比较,第2w和第4w末PANSS、MMSE、PSP评分比较差异有统计学意义(P<0.05)。至治疗终点,两组PANSS减分率及疗效差异有统计学意义(P<0.05),TESS评分差异无统计学意义(P>0.05),重复经颅磁刺激和帕利哌酮缓释片都是安全、可以耐受的。结论:重复经颅磁刺激联合帕利哌酮缓释片较单一使用帕利哌酮缓释片在疗效、智力状态恢复、社会功能恢复存在优越性,副反应方面无明显差异。
Abstract
[Abstract] Objective: To compare differences between repetitive transcranial magnetic stimulation combined with paliperidone extended release tablets andunique paliperidone extended release tablets on efficacy,safety, mental state and social functions recovery in the treatment of patients with schizophrenia ,provides the reference for clinical treatment options.Methods: 88 eligible patients with schizophrenia were randomly divided into study group and control group, these cases were treated for 4 weeks.Before treatment and after the treatment at the end of the first weekend, 2 weekend, 4 weekend, the Positive and Negative Syndrome Scale (PANSS) and the reduction rate assess the efficacy, Treatment Emergent Sysptom Scale (TESS) assess adverse reactions, Mini-Mental State Examination(MMSE)assess mental state,Personal and Social Performance scale (PSP) assess the patients social function.Results: After treatment, compared with before treatment in each group, PANSS, MMSE and PSP showed significant improvement at various time points , with a statistically significant(P <0.05); between the two groups, PANSS, MMSE and PSP scores difference was statistically significant (P < 0.05)at 2 weekend and 4 weekend.To the end of treatment,the difference of PANSS reduction rate and efficacy was statistically significant in both groups (P <0.05), TESS scores was not significant difference (P> 0.05) between the two groups,repetitive transcranial magnetic stimulation and paliperidone extended release tablets are It is safe and well tolerated.Conclusion: Repetitive transcranial magnetic stimulation combined with paliperidone extended release tablets than the single use of paliperidone extended release tablets in efficacy, mental state recovery, social function recovery exists superiority, side effects were not significant difference.
关键词
重复经颅磁刺激;帕利哌酮缓释片;精神分裂症;疗效;社会功能
KeyWord
rTMS; paliperidone ; schizophrenia; efficacy; social function
基金项目
页码 608-612
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何兆宇,吴胜*,赵新民,鲁陆. 重复经颅磁刺激联合帕利哌酮缓释片治疗精神分裂症的随机双盲对照试验 [J]. 国际精神病学杂志. 2017; 44; (4). 608 - 612.

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