258例儿童青少年精神分裂症住院患者治疗现状调查

Investigation on the treatment of 258 cases inpatients with schizophrenia in children and adolescents

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(2)
作者
作者单位

江苏省淮安市第三人民医院医学心理科 ;
江苏省淮安市第三人民医院精神科 ;

摘要
【摘要】 了解儿童青少年精神分裂症患者住院治疗现状。 方法 调查2010年1月~2015年12月首次住院的258例儿童青少年精神分裂症患者的治疗情况。 结果 出院时单用非典型抗精神病药物186例(72.1%),两种抗精神病药物联用72例(27.9%)。单用利培酮66例(25.6%)占首位,奥氮平56例(21.7%)占第二位,阿立哌唑35例(13.6%)占第三位。男性使用利培酮多于女性,女性使用阿立哌唑多于男性,差异有统计学意义(x2=9.905,8.380,P<0.01)。出院时合用抗抑郁剂48例(18.6%);合用情绪稳定剂16例(6.2%),合用苯二氮卓类药物(BZD)32例(12.4%)。不同性别、年龄比较差异无统计学意义(x2=0.016~1.482,P>0.05)。 结论 儿童青少年精神分裂症患者药物治疗基本合理,以单用非典型抗精神病药物为主。使用利培酮和阿立哌唑存在性别差异与药理及其副作用有关,少部分患者联合两种抗精神病药物,以及合用抗抑郁剂、情绪稳定剂与病情有关。BZD应慎重使用。
Abstract
【Abstract】Objective To understand the status of treatment of inpatients with schizophrenia in children and adolescents. Methods Survey on the treatment of 258 cases inpatients for the first time with schizophrenia in children and adolescents between January 2010 ~ December 2015. Results Using one atypical antipsychotic drug in 186 cases (72.1%). Two types of antipsychotic drugs in combination were 72 cases(27.9%). Using Risperdal first in 66 cases(25.6%),Olanzapine second in 56 cases(21.7%)and Aripiprazole third in 35 cases(13.6%). Men use Risperdal more than women and women use Aripiprazole more than men at discharge. The statisticaldifferences were significantly(x2=9.905,8.380,P<0.01). Combination using with antidepressants in 48 cases(18.6%),mood stabilizers in 16 cases(6.2%)and BDZ in 32 cases(12.4%)at discharge. There were no significantly statistical differences in comparison of different gender and age(x2=0.016~1.482,P>0.05). Conclusion Drug treatment in patients with schizophrenia in children and adolescents was basically reasonable. Drug treatment was main single using atypical antipsychotics. Gender differences of using risperidone and aripiprazole which associated with pharmacology and its side effects. A few patients combined combined two antipsychotic drugs, antidepressants and mood stabilizers which associated with illness. BZD should be used cautiously.
关键词
【关键词】精神分裂症;儿童青少年;治疗;现状调查
KeyWord
【Keywords】Schizophrenia;Children and adolescents ;Treatment ;Cross-sectional investigation
基金项目
页码 247-249
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王秀珍*,孙太鹏,黄成兵,陈刚,刘文亮. 258例儿童青少年精神分裂症住院患者治疗现状调查 [J]. 国际精神病学杂志. 2018; 45; (2). 247 - 249.

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