奥氮平联合阿立哌唑对精神分裂症患者焦虑抑郁水平、应对方式及自伤行为的影响
Effects of olanzapine combined with aripiprazole on anxiety and depression level, coping style and self-injurious behavior in schizophrenic patients
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| DOI |
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| 刊名 |
Journal of International Psychiatry
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| 年,卷(期) |
2025, 52(1) |
| 作者 |
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| 作者单位 |
兰州市第三人民医院精神科
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| 摘要 |
【摘要】 目的 观察奥氮平联合阿立哌唑在精神分裂症患者治疗中的应用效果及其对焦虑抑郁、应对方式及自伤行为的影响。方法 将我院112例精神分裂症患者采用随机数字表法进行分组,对照组56例给予阿立哌唑治疗,实验组56例在对照组基础上联合奥氮平治疗,对比两组患者临床疗效、焦虑抑郁程度、应对方式以及自伤行为、不良反应。结果 治疗后,实验组患者总有效率高于对照组(P<0.05);实验组焦虑抑郁评分治疗前后差值均较对照组患者大(P<0.05);实验组患者应对方式中消极应对、积极应对评分差值均大于对照组(P<0.05);实验组患者自伤行为及自杀行为发生率较对照组低(P<0.05),两组不良反应发生率比较差异无统计学意义(P>0.05)。结论 阿立哌唑联合奥氮平能有效改善精神分裂症患者的精神症状,提高临床疗效,缓解焦虑、抑郁情绪,促进积极应对方式,减少消极应对,有效避免自伤及自杀行为,且不增加不良反应发生风险,安全性较高。
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| Abstract |
[Abstract]Objective To observe the effect of olanzapine combined with aripiprazole in the treatment of schizophrenia and its effects on anxiety and depression, coping style and self-injurious behavior. Methods 112 patients with schizophrenia in our hospital were divided into groups by random number table method, 56 patients in the control group were given aripiprazole treatment, and 56 patients in the experimental group were combined with olanzapine treatment on the basis of the control group. Clinical efficacy, anxiety and depression degree, coping style, self-injury behavior and adverse reactions were compared between the two groups. Results After treatment, the total effective rate of the experimental group was higher than that of the control group (P < 0.05). The difference of anxiety and depression scores in the experimental group before and after treatment was greater than that in the control group (P<0.05). The differences of negative coping and positive coping scores in the experimental group were higher than those in the control group (P<0.05). The incidence of self-injury and suicide behavior in the experimental group was lower than that in the control group (P<0.05), and there was no statistical significance in the incidence of adverse reactions between the two groups (P > 0.05). Conclusion Aripiprazole combined with olanzapine can effectively improve the mental symptoms of schizophrenia patients, improve clinical efficacy, relieve anxiety and depression, promote positive coping styles, reduce negative coping, effectively avoid self-injury and suicidal behavior, and do not increase the risk of adverse reactions, with high safety.
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| 关键词 |
【关键词】奥氮平;阿立哌唑;精神分裂症;焦虑抑郁;自伤行为
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| KeyWord |
[ Key words ] Olanzapine; Aripiprazole; Schizophrenia; Anxiety and depression; Self-injury behavior
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| 基金项目 |
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| 页码 |
50-53 |
张小娟.
奥氮平联合阿立哌唑对精神分裂症患者焦虑抑郁水平、应对方式及自伤行为的影响 [J].
国际精神病学杂志.
2025; 52; (1).
50 - 53.