利培酮治疗对老年脑卒中合并精神疾病患者心理和炎性状态的影响

psychological and inflammatory status effect of risperidone treatment for patients with senile cerebral apoplexy and mental illness

ES评分 0

DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(1)
作者
作者单位

上海市宝山区精神卫生中心 ;

摘要
【摘要】目的:探讨利培酮治疗对老年脑卒中合并精神疾病患者心理和炎性状态的影响。方法:回顾性分析2012年9月至2015年12月期间我院确诊治疗的老年脑卒中合并精神疾病患者100例,依据治疗方法分为培酮组和对照组,每组50例,对照组患者给予常规干预治疗,培酮组患者在此基础上给予利培酮治疗,采用简易智能精神状态检查量表(MMSE)评估精神状态,采用汉密尔顿焦虑量表(HAMA)评估焦虑状态,采用汉密尔顿抑郁量表(HAMD)评估抑郁状态,采用酶联免疫吸附法(ELISA)检测血清C反应蛋白(CRP)水平,随访6个月,统计分析所有患者干预前后精神状态、副反应、CRP水平和干预前、干预后1、3、6个月的焦虑和抑郁状态。结果:培酮组患者治疗有效率明显高于对照组,有显著性差异(P<0.05);培酮组患者干预后血清CRP水平明显低于对照组,有显著性差异(P<0.05);培酮组患者干预后1、3、6个月的HAMA和HAMD得分明显低于对照组,有显著性差异(P<0.05)。结论:利培酮治疗可有效改善老年脑卒中合并精神疾病患者的精神状态和炎性状态,提高临床疗效,有利于减少患者焦虑、抑郁等不良情绪的产生,值得临床作进一步推广。
Abstract
【 Abstract】objective:To discuss the psychological and inflammatory status effect of risperidone treatment for patients with senile cerebral apoplexy and mental illness.Methods: 100 patients with senile cerebral apoplexy and mental illness were retrospectively analyzed from September 2012 to December 2015 in our Hospitals. According to the treatment, all patients were divided into risperidone group and control group, 50 cases in each group, control group patients given routine intervention treatment,on the base, risperidone group patients given risperidone treatment, simple intelligence mental state examination (MMSE) was used to assess the mental state,Hamilton anxiety scale (HAMA) was used to assess the anxiety,Hamilton depression scale (HAMD) was used to assess the depression,enzyme-linked immunosorbent (ELISA) was used to detect serum c-reactive protein (CRP) level,followed up for 6 months,analyzed all the mental status of patients before and after treatment, side effects, CRP level and treatment before and after treatment 1, 3, 6 months of anxiety and depression.Results:Risperidone group patients with treatment efficiency was significantly higher than the control group, with significant difference (P < 0.05);Risperidone group patients with CRP level were significantly lower than the control group, with significant difference (P < 0.05).Risperidone group patients with 1, 3, 6 months of HAMA and HAMD scores were significantly lower than the control group, with significant difference (P < 0.05).Conclusions:Risperidone therapy can effectively improve the old patients with cerebral apoplexy combined mental illness mental state and inflammatory state, improve the clinical curative effect,it is helpful to reduce patients causing bad emotions such as anxiety, depression, it’s worth for further clinical promotion.
关键词
【关键词】:利培酮;老年脑卒中;精神疾病;焦虑;抑郁
KeyWord
【Keywords】:risperidone;senile cerebral apoplexy;mental illness;anxiety;depression
基金项目
页码 117-120
  • 参考文献
  • 相关文献
  • 引用本文

董文芳*. 利培酮治疗对老年脑卒中合并精神疾病患者心理和炎性状态的影响 [J]. 国际精神病学杂志. 2018; 45; (1). 117 - 120.

  • 文献评论

相关学者

相关机构