电抽搐治疗联合阿立哌唑、奥氮平治疗精神分裂症的效果评价

Clinical effects for the patients with schizophrenia treated by modified electroconvulsive therapy, aripiprazole and olanzapine

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(2)
作者
作者单位

重庆三峡中心医院康复大院 ;

摘要
【摘要】探讨电抽搐治疗联合阿立哌唑、奥氮平治疗精神分裂症的效果。方法 按照入院顺序抽签后随机将92例精神分裂症患者分为实验组和对照组,实验组:电抽搐治疗联合阿立哌唑口腔崩解片治疗。对照组:电抽搐治疗联合奥氮平治疗。比较两组患者治疗前后病情和生活质量变化情况以及疗程结束时综合疗效、执行功能以及副反应发生情况。结果 两组患者治疗后PANSS各项评分对比,无统计学差异(P>0.05);两组患者治疗后生活质量各项评分对比,无统计学差异(P>0.05);两组患者综合疗效基本相似,无统计学差异(P>0.05);2组患者治疗后WCST结果对比,无统计学差异(P>0.05);实验组体重增加、血糖升高以及副反应总发生率明显低于对照组,有统计学差异(P<0.05),但实验组静坐不能的发生率明显高于对照组,有统计学差异(P<0.05)。结论 电抽搐治疗联合阿立哌唑与奥氮平对精神分裂症均有较好的治疗效果,可明显改善患者的病情、生活质量以及执行能力,但阿立哌唑副反应更少,临床应用价值较高。
Abstract
【Abstract】Objective To explore the clinical effects for the patients with schizophrenia treated by modified electroconvulsive therapy, aripiprazole and olanzapine. Methods 92 cases of patients with schizophrenia were divided into experiment group and control group. The experiment group were treated by modified electroconvulsive therapy and aripiprazole, the control group were treated by modified electroconvulsive therapy and olanzapine. The condition and quality of life befor and after treanment, the clinical effects, executive function and side effect were observed. Results There had no significant difference on the activities PANSS score for the two groups after treatment(P>0.05); There had no significant difference on the activities quality of life score for the two groups after treatment(P>0.05); There had no difference on the clinical effects between the two groups(P>0.05); There had no significant difference on the result of WCST between the two groups(P>0.05); The rate of body weight gain, blood glucose rise, total rate for the experiment group were lower than the control group(P<0.05); The rate of acathisiaakathisia for the experiment group were higher than the control group(P<0.05). Conclusion It has good clinical effects for the patients with schizophrenia treated by modified electroconvulsive therapy, aripiprazole and olanzapine, the condition, quality of life and executive function are improved obvious, but the side effect of the aripiprazole are lower, it has higher values of clinical application.
关键词
【关键词】精神分裂症;电抽搐治疗;阿立哌唑;奥氮平
KeyWord
【Keywords】Schizophrenia; Modified electroconvulsive therapy; Aripiprazole; Olanzapine
基金项目
页码 222-225
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吕贝,段海水*,程伟,黄超. 电抽搐治疗联合阿立哌唑、奥氮平治疗精神分裂症的效果评价 [J]. 国际精神病学杂志. 2017; 44; (2). 222 - 225.

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