帕利哌酮和氨磺必利对首发未用药女性精神分裂症患者血清催乳素水平、体质量以及认知功能影响的对照研究

Paley risperidone and amisulpride in schizophrenia serum prolactin levels, body mass and cognitive function of first-episode medication control study of female spirit

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

河北联合大学附属开滦精神卫生中心 ;

摘要
摘要:目的:评价帕利哌酮和氨磺必利对首发未用药女性精神分裂症患者血清催乳素水平、体质量以及认知功能的影响。方法:将90例女性精神分裂症患者分为两组:帕利哌酮组45例患者采用口服帕利哌酮缓释片治疗,氨磺必利组45例患者通过口服氨磺必利治疗,两组均治疗12周。比较治疗前后两组患者的血清泌乳素水平、体质量、PANSS评分、WMS-RS评分以及MCCB评分。结果:两组血清催乳素水平治疗后各周期较治疗前均有显著提高(P<0.05),治疗后两组比较差异无统计学意义(P>0.05);两组治疗后12周体质量较治疗前都有显著增加(P<0.05),帕利哌酮组增加幅度低于氨磺必利组(P<0.05);两组治疗后12周PANSS评分较治疗前都有显著降低(P<0.05),但帕利哌酮组治疗后降低的幅度显著高于氨磺必利组(P<0.05);治疗12周后,两组的WMS-RS评分、MCCB评分较治疗前有显著提高(P<0.05),但是帕利哌酮组的WMS-RS评分、MCCB评分提高幅度显著高于氨磺必利组(P<0.05)。结论:帕利哌酮和氨磺必利都能导致患者血清催乳素和体质量增加,但是氨磺必利体质量增加的幅度更大。两种药物都能显著改善精神分裂症患者认知功能障碍,但帕利哌酮的治疗效果优于氨磺必利。
Abstract
Abstract: Objective: To evaluate effect of risperidone and amisulpride Paley schizophrenia serum prolactin levels, body weight and cognitive function of first-episode medication of female spirit. Methods: 90 cases of female patients with schizophrenia can be divided into two groups: Mr. Pp ketone group 45 cases were treated by oral peary pp ketone zyban treatment, tolbutamide will benefit group of 45 patients with oral tolbutamide will the treatment, two groups of treatment for 12 weeks. Compare two groups of patients before and after the treatment the serum prolactin level, body quality and PANSS score, grade and MCCB WMS - RS.Results: Two groups of serum prolactin levels after treatment in each cycle than before treatment were significantly increased (P < 0.05), after treatment is similar between the two groups had no statistical significance (P > 0.05); Two groups before 12 weeks after treatment the body quality is treatment has significantly increased (P < 0.05), peary pp ketone group increase rate is lower than the tolbutamide will benefit group (P < 0.05); Two groups of PANSS score 12 weeks after treatment than before treatment had significantly lower (P < 0.05), but the pp ketone group was significantly lower after treatment than tolbutamide will benefit group (P < 0.05); 12 weeks after treatment, two groups of WMS - RS scores, MCCB score significantly higher than before treatment (P < 0.05), but Mr. Pp ketone group of WMS - RS score, MCCB score will increase significantly higher than that of tolbutamide, the group (P < 0.05).Conclusion: Paley risperidone and amisulpride can lead to serum prolactin and body weight were increased, but amisulpride body weight increased more sharply. The two drugs can significantly improve the cognitive impairment of schizophrenia, but risperidone treatment effect is better than that of Paley amisulpride.
关键词
【关键词】精神分裂症;帕利哌酮;氨磺必利;认知功能
KeyWord
[Key words] schizophrenia Risperidone; Paley; amisulpride; cognitive function
基金项目
页码 597-599
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李娜,曹璇,李伟,张顺,郭建兵*. 帕利哌酮和氨磺必利对首发未用药女性精神分裂症患者血清催乳素水平、体质量以及认知功能影响的对照研究 [J]. 国际精神病学杂志. 2018; 45; (4). 597 - 599.

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