齐拉西酮胶囊治疗精神分裂症的疗效及TC、TG、LDL-C、Lep水平变化分析

Ziprasidone capsule efficacy of the treatment of schizophrenia and TC, TG, LDL-C, Lep levels in the serum

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

辽宁省锦州市康宁医院药剂科 ;
辽宁省锦州医科大学附属第一医院 药品临床实验基地 ;
辽宁省锦州市康宁医院精一科 ;

摘要
【摘要】目的:探讨齐拉西酮胶囊对精神分裂症的治疗效果及TC、TG、LDL-C、Lep的水平变化。方法:择取100例精神分裂症的患者,随机分为研究组和对照组,研究组患者采用齐拉西酮胶囊治疗,对照组患者采用利培酮进行治疗,两组患者治疗疗程均为8周。所有患者在治疗前后应进行PANSS评分并比较两组患者的疗效,同时检测上述患者的三酰甘油(TG)、胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)及血清瘦素(Lep)水平。结果:①与治疗前比较,治疗后的两组患者的各项指标均有统计学意义(P<0.05),但治疗后研究组患者的PANSS总分要明显低于对照组,且差异有统计学意义(P<0.05);②与对照组相比,研究组患者的总体有效率较高,经秩和检验分析,Z=-2.665,P=0.008<0.05,差异有统计学意义;③与治疗前相比,治疗后研究组患者各项代谢指标无明显变化(P>0.05);治疗后对照组患者的各项代谢指标均有明显变化,且差异有统计学意义(P<0.05)。结论:齐拉西酮对精神分裂症有较好的疗效,对血脂及瘦素等代谢指标影响较小,不会增加心血管、代谢疾病及恶性肿瘤的患病风险。
Abstract
【Abstract】Objective:Discussion Ziprasidone capsules for the treatment of schizophrenia and the effect of TC, TG, LDL-C, varying levels of Lep.Methods:Taking 100 cases of schizophrenia were randomly divided into study group and control group.Study group were treated with ziprasidone capsule treatment, the control group were treated with risperidone treatment,and all of patients needed to treat for 8 weeks.All patients should be carried out before and after treatment PANSS score and the efficacy of two groups were compared, while detecting the patients with triglyceride (TG), cholesterol (TC), low-density lipoprotein cholesterol (LDL-C) and serum leptin (Lep )Level.Results:①Compared with before treatment, after treatment, the indicators of the two groups were statistically significant (P <0.05), but the study group patients after treatment PANSS total score was significantly lower, and the difference was statistically significant (P <0.05);②Compared with the control group, the overall study group of patients with a higher efficiency, rank sum test analysis, Z = -2.665, P = 0.008 <0.05, the difference was statistically significant;③Compared with before treatment, no significant changes in the metabolism study group of patients after treatment (P> 0.05); after treatment of the metabolic indicators in the control group of patients changed significantly, and the difference was statistically significant (P <0.05 ).Conclusions:Ziprasidone for schizophrenia has a good effect, little effect on lipid metabolism and leptin, does not increase the risk of cardiovascular and metabolic diseases and cancer.
关键词
【关键词】齐拉西酮;精神分裂;疗效;TC;TG;LDL-C;Lep
KeyWord
【Key Words】Ziprasidone; schizophrenia; efficacy;TC;TG;LDL-C;Lep
基金项目
页码 992-998
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傅志花,曹宇,黄海涛,贾琳*,黄越. 齐拉西酮胶囊治疗精神分裂症的疗效及TC、TG、LDL-C、Lep水平变化分析 [J]. 国际精神病学杂志. 2016; 43; (6). 992 - 998.

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