奥氮平与利培酮治疗老年期精神障碍的临床疗效及生活质量的观察与分析

Clinical observation and analysis of the efficacy and safety of olanzapine and risperidone in the treatment of mental disorders in the aged

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(4)
作者
作者单位

四川省乐山市精神病医院 ;

摘要
18981301050,邮箱:285777624@qq.com奥氮平与利培酮治疗老年期精神障碍的临床疗效及生活质量的观察与分析孙毅 卓越 吕治宇 王俊 严卫国(四川省乐山市精神病医院 四川省乐山市 614000)【摘要】 目的: 本研究旨在研究和比较奥氮平与利培酮在治疗老年期精神障碍疾病中的临床效果以及改善生活质量。方法: 2013年6月至2015年6月,选取在我院精神科接受治疗的老年期精神障碍患者共80例,随机分成奥氮平组和利培酮组,每组40例,分别使用奥氮平和利培酮进行治疗,采用阳性与阴性症状量表(PANSS)、不良反应量表(TESS)、生活质量综合评定问卷(GQOLI)分别评定患者的疗效、不良反应及生活质量。结果: 与治疗前相比较,两组在治疗6月后,物质生活、躯体功能、心理功能、社会功能以及总分均明显升高,差异有统计学意义(P<0.05)。治疗6月后,奥氮平组的物质生活、躯体功能、心理功能、社会功能以及总分明显高于利培酮组,差异有统计学意义(P<0.05)。奥氮平组的兴奋或者激越,睡眠障碍,肌强直,震颤,静坐不能,恶心呕吐,头晕头痛,心动过速,肝功,TESS评分均明显低于利培酮组,差异有统计学意义(P<0.05)。结论: 与利培酮相比较,奥氮平在治疗老年期精神障碍疾病方面临床效果更好,安全性更高,改善生活质量,值得在临床上推广应用。
Abstract
【Abstract】 Objective: This study was designed to investigate and compare the clinical efficacy and safety of olanzapine and risperidone in the treatment of psychiatric disorders in the elderly. Methods: From June 2013 to June 2015, 80 elderly patients with psychiatric disorders were randomly divided into olanzapine group and risperidone group, 40 cases in each group. Nitrogen and risperidone (PANSS), Adverse Reaction Scale (TESS), and Quality of Life Questionnaire (GQOLI) were used to evaluate the efficacy, adverse reactions and quality of life of the patients. Results: Compared with before treatment, the physical, physical, psychological, social function and total scores of the two groups were significantly increased after 6 months of treatment (P <0.05). After 6 months of treatment, the physical, physical, psychological, social function and total score of olanzapine group were significantly higher than those of risperidone group (P <0.05). Nausea, vomiting, dizziness, headache, tachycardia, liver function and TESS were significantly lower in risperidone group than in risperidone group There was statistical significance (P <0.05). Conclusion: Compared with risperidone, olanzapine has better clinical effect and safety in the treatment of senile mental disorders. It is worthy to be popularized in clinical practice.
关键词
【关键词】精神障碍;奥氮平;利培酮
KeyWord
【Key words】 Mental disorders; Olanzapine; Risperidone
基金项目
页码 619-621
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孙毅*,卓越,吕治宇,王俊,严卫国. 奥氮平与利培酮治疗老年期精神障碍的临床疗效及生活质量的观察与分析 [J]. 国际精神病学杂志. 2017; 44; (4). 619 - 621.

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