氨磺必利对急性期精神分裂症疗效观察

Clinical efficacy of amisulpride in treatment with acute schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(5)
作者
作者单位

厦门市仙岳医院中西医结合精神科 ;

摘要
【摘要】目的:探讨氨磺必利对急性期精神分裂症的临床疗效。方法:86例急性期精神分裂症患者按照随机数字表法分为实验组和对照组,各43例,实验组口服氨磺必利片;对照组口服奥氮平片,6周为1个疗程,比较两组患者临床疗效及安全性。结果:两组患者疗效比较差异无统计学意义(P>0.05)。两组患者治疗期间各时段PANSS阳性因子、阴性因子、总分比较差异无统计学意义(P>0.05)。对照组治疗期间血糖、总胆固醇波动较实验组明显,实验组治疗期间QTc逐渐升高(P<0.05)。实验组椎体外系反应、嗜睡、肝功能异常不良反应发生率显著低于对照组(P<0.05)。结论:氨磺必利与奥氮平对急性精神分裂症疗效相当,且对血糖、血脂影响更小,安全性较高。但氨磺必利对QT期的延长作用影响较为明显,用药期间需要对心电图进行持续监测。
Abstract
【Abstract】Objective: To explore the clinical efficacy of amisulpride in treatment with acute schizophrenia.Methods: A total of 86 cases of acute schizophrenia patients treated were divided into experimental group and control accorded to the random number table method,each had 43 cases,the experimental group accepted Amisulpride tablets, the control group accepted,Olanzapine tablets, 6 weeks for 1 course,the clinical efficacy and safety of the two groups were compared.Results: There was no significant difference in efficacy between the two groups (P>0.05).Each time of two groups PANSS positive factor and negative factor, total score also with no statistical significance (P>0.05).During the treatment, Compared with the experimental group ,glucose and total cholesterol fluctuateed significantly ,QTc gradually increased during treatment group in experimental group(P <0.05).The incidence of external response, sleepiness and abnormal liver function in the experimental group was significantly lower than that in the control group (P<0.05).Conclusion: Amisulpride and olanzapine on acute schizophrenia efficacy is similar, and less influence on blood glucose and lipid, with high security. But amisulpride is obvious to extend the QT effect, during treatment need to continuous monitoring of the electrocardiogram during treatment.
关键词
【关键词】氨磺必利;奥氮平;急性期;精神分裂症;不良反应
KeyWord
【Key words】Amisulpride; Olanzapine; Acute; Schizophrenia; Adverse reaction
基金项目
页码 794-796
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夏玉平*,陈进东,章家新,谢彦颖. 氨磺必利对急性期精神分裂症疗效观察 [J]. 国际精神病学杂志. 2016; 43; (5). 794 - 796.

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