奥氮平联合丙戊酸钠治疗伴冲动行为精神分裂症对临床疗效、SSPI评分的影响

Effect of Olanzapine Combined with Sodium Valproate Therapy on the Clinical Effects and SSPI Rating in the Treatment of Schizophrenic Patients with Impulsive Behavior

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(6)
作者
作者单位

北京市西城区平安医院 ;

摘要
【摘要】目的:研究伴冲动行为的精神分裂症者应用奥氮平和丙戊酸钠联合医治对临床疗效、SSPI评分的影响。方法:资料取本院2015年5月-2016年5月收治的伴冲动行为的精神分裂症126例患者予以回顾性地分析,按照临床所用不同治疗方案分成2组,将应用单纯奥氮平医治46例患者作为对照组,将应用奥氮平和丙戊酸钠联合医治80例患者作为观察组,对两组临床疗效、SSPI评分情况进行对比。结果:观察组医治后PANSS评分均比医治前和对照组优(P<0.01);两组总不良反应率2.50%、8.70%对比无明显差异(P>0.05);观察组于两组医治后MOAS与SSPI评分均改善基础上,其改善幅度均比对照组显著(P<0.01)。结论:伴冲动行为的精神分裂症者应用奥氮平和丙戊酸钠联合医治能够改善临床症状与冲动行为,促进患者社会功能提高,且不良反应少,具有临床推广价值。
Abstract
[Abstract] Objective: To study the effect of Olanzapine combined with sodium valproate therapy on the clinical effects and SSPI rating for schizophrenic patients with impulsive behavior. Methods: The clinical data of 126 schizophrenic patients with impulsive behavior who had recived treatment in our hospital between May 2015 arospectively analyzed, and were devided into two groups according to the different clinical treatment options given. The 46 patients given only Olanzapine for treatment were set as the control group, whereas the other 80 patients treated with Olanzapine combined with sodium valproate as the observation group. The clinical efficacy and SSPI rating in the two groups were compared. Results: After treatment, the PANSS score in the observation group were shown to be better than before treatment and that in the control group (P<0.01). The total incidence of adverse reactions in the two groups were 2.50% and 8.70%, without significant difference registered (P>0.05). The MOAS and SSPI scores were improved in both groups after treatment, and the improvement in the observation group was shown to be more significant than that in the control group significantly (P<0.01). Conclusion: For schizophrenic patients with impulsive behavior, Olanzapine combined with sodium valproate can improve their clinical symptoms and impulsive behavior, promote their social function, and reduce the incidence of adverse reactions; therefore, it is worthwhile to be put into clinical application.
关键词
【关键词】精神分裂症;冲动行为;丙戊酸钠;奥氮平;社会功能
KeyWord
[Key words] Schizophrenia; Impulsive Behavior; Sodium Valproate; Olanzapine; Social Function
基金项目
页码 995-997
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王麟,肖存利*,孙雅丽,薛春燕,张晓颖. 奥氮平联合丙戊酸钠治疗伴冲动行为精神分裂症对临床疗效、SSPI评分的影响 [J]. 国际精神病学杂志. 2016; 43; (6). 995 - 997.

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