小剂量阿立哌唑联合氨磺必利治疗男性精神分裂症患者对其性功能、催乳素的影响

Effects of low-dose aripiprazole combined with amosulpride on sexual function and prolactin in male patients with schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(4)
作者
作者单位

上海市精神卫生中心 ;

摘要
摘要:探讨小剂量阿立哌唑联合氨磺必利用于男性首发精神分裂症患者中疗效,并观察其对患者认知功能、性功能、催乳素的影响。方法 将本院2015年5月-2016年3月 62例诊断为首发精神分裂症的男性患者按照随机抛硬币法分为对照组(氨磺必利)与治疗组(小剂量阿立哌唑联合氨磺必利),各31例。分别于治疗前、治疗8周后采用阳性症状与阴性症状量表(PANSS)、威斯康星卡片分类测验(WCST)及韦氏记忆量表(WMS)评价患者其临床症状及认知功能改善情况;统计两组临床疗效,检测两组患者治疗前、后血清催乳素水平,并采用亚利桑那性体验男性量表(ASEX)评价患者治疗前后性功能情况。结果 治疗8周后,两组患者阳性症状评分、阴性症状评分、一般精神病理症状评分及总分明显低于治疗前,治疗组各项评分均明显低于对照组,P<0.05;两组患者治疗后WCST评分(正确数、完成分类数、随机错误数及持续错误数)、WMS评分较治疗前明显改善,且治疗组各项评分改善程度优于对照组,P<0.05。治疗组治疗总有效率90.32%,明显高于对照组64.52%,P<0.05;对照组治疗后ASEX总分及各项因子评分催乳素水平明显高于治疗前,且高于治疗组,P<0.05;然治疗组治疗前、后ASEX总分及各项因子评分、催乳素水平相比,P>0.05。结论 氨磺必利联合阿立哌唑治疗男性首发精神分裂症可有效改善患者临床症状及认知功能,单纯采用氨磺必利治疗对男性患者性功能及催乳素有一定影响,然辅以小剂量阿立哌唑治疗可改善该问题。
Abstract
Abstract:objective To investigate the efficacy of a small dose of aripiprazole combined with amiosulide in male patients with first-episode schizophrenia, and to observe the effect of aripiprazole on the cognitive function, sexual function and prolactin.Methods In our hospital from May 2015 to March 2016, 62 patients with first-episode schizophrenia were randomly divided into the control group (amosulpiride) and the treatment group (low-dose aripiprazole combined with ammonia Sulfopile), the 31 cases. The clinical symptoms and cognitive function of the patients were evaluated by PANSS, WCST and WMS before and 8 weeks after treatment, and the results were statistically analyzed. Serum levels of prolactin were measured before and after treatment in both groups. Sexual function before and after treatment was evaluated with the Arizona Sexual Experience Male Scale (ASEX).Results After 8 weeks of treatment, the scores of positive symptom score, negative symptom score, general psychopathological symptom score and total score of the two groups were significantly lower than those of the control group before treatment, P <0.05; WMS score improved significantly after treatment, and the improvement of the score of the treatment group was better than that of the control group, P <0.05 The total effective rate of the treatment group was 90.32%, significantly higher than the control group 64.52%, P<0.05; the control group after treatment ASEX total score and the factor score prolactin levels were significantly higher than the treatment group, P<0.05; however, the treatment group before and after treatment ASEX total score and the factor scores, prolactin levels, P>0.05.Conclusion Ampicillin combined with aripiprazole in the treatment of male first-episode schizophrenia can effectively improve the clinical symptoms and cognitive function, the use of amiosulpride alone in male patients with sexual function and prolactin have a certain impact, then supplemented by a small dose Treatment with aripiprazole may improve this problem.
关键词
关键词:男性首发精神分裂症;催乳素;氨磺必利;阿立哌唑;性功能
KeyWord
Keywords:Male schizophrenia; prolactin; amiosulide; aripiprazole; sexual function
基金项目
页码 604-607
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王华阳, 杨献红,黄瑛,张婕文*. 小剂量阿立哌唑联合氨磺必利治疗男性精神分裂症患者对其性功能、催乳素的影响 [J]. 国际精神病学杂志. 2018; 45; (4). 604 - 607.

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