氟西汀联用利培酮对精神分裂症患者焦虑、抑郁状态的影响

Influence of fluoxetine combined liver resolve depression capsule in treatment of schizophrenia patients with anxiety and depression.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(3)
作者
作者单位

重庆市精神卫生中心 ;
西南医科大学附属医院 ;
重庆市精神卫生中心 ;

摘要
摘要:探讨氟西汀联用利培酮对精神分裂症患者焦虑、抑郁状态的影响。方法:回顾性分析2014年5月-2016年4月于本科室收治精神分裂症100例,根据给药方式不同将其分为联合组和单一组,各50例。单一组给予氟西汀(20mg/次,1次/d)及安慰剂治疗,联合组给予氟西汀(20mg/次,1次/d)和加用利培酮(4mg/次,1次/d)治疗,均治疗12周。采用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评价患者焦虑抑郁状态,统计分析所有患者疗效、HAMD及HAMA评分、不良反应发生情况。结果:联合组患者治疗有效率高于单一组,差异有统计学意义(P<0.05);联合组治疗4周、12周HAMD、HAMA评分均低于单一组,差异有统计学意义(P<0.05);联合组患者不良反应总发生率与单一组差异无统计学意义(P>0.05)。结论:氟西汀联用利培酮能有效提高精神分裂症患者焦虑、抑郁症的疗效,促进恢复,安全可靠,值得临床进一步推广应用。
Abstract
Abstract: Objective: To observe the influence of fluoxetine combined risperdal in treatment of schizophrenia patients with anxiety and depression. Methods: 100 schizophrenia patients were retrospectively analyzed from May 2014 - April 2016 from in hospital, according to the dosing methods, all patients were divided into experimental group (n=50) and control group(n=50). The control group was given fluoxetine (20mg/times,1time/d) and placebo. Experimental group was given fluoxetine (20mg/time,1d/time)and risperdal (4mg/time, 1time/ d),two groups of treatment was 12 weeks. Used anxiety of hamilton depression rating scale HAMD and hamilton anxiety scale HAMA to evaluate patients with anxiety depression. Statistical analysis of all of the patients curative effect, HAMD and HAMA score, adverse reaction. Results: Total effective rate of of experimental group were higher than control group after treatment with statistical significance. The HAMD and HAMA score of experimental group were lower than control group after treatment of 4 and 12 weeks with statistical significance. Incidence of adverse reaction of experimental group patients there was no statistically significant difference with control group. Conclusion: Fluoxetine combined risperdal can effectively improve the curative effect of schizophrenia patients with anxiety, depression, promote recovery, safe and reliable, and it is worth further clinical application.
关键词
关键词:氟西汀;利培酮;精神分裂症;焦虑;抑郁
KeyWord
Keywords: fluoxetine; risperdal; schizophrenia; anxiety; depression
基金项目
页码 452-455
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黄雪萍*,张涛,黄金园,周小艳,文宴. 氟西汀联用利培酮对精神分裂症患者焦虑、抑郁状态的影响 [J]. 国际精神病学杂志. 2018; 45; (3). 452 - 455.

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