氨磺必利与阿立派唑治疗女性精神分裂症对照研究

A Case Controll Study of Amisulpride and Aripiprazole for the Treatment of Female Schizophrenia Pa-tients

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(3)
作者
作者单位

西安市精神卫生中心 ;
.陕西省交通医院 ;

摘要
目的 比较氨磺必利与阿立派唑治疗女性精神分裂症的临床疗效。方法 选取2013年1月~2014年12月期间我院收治的女性精神分裂患者80名,运用随机信封法分为氨磺必利组和阿立派唑组,每组各40例,分别采用氨磺必利和阿立派唑单药治疗,8周为1疗程,分别于治疗前1天,治疗开始后第4周和第8周观察评价相关治疗指标。结果 氨磺必利和阿立派唑均可显著降低精神分裂患者阳性和阴性症状量表(PANSS)评分(P <0.05),但是在降低的幅度上两者差异没有统计学意义(P >0.05);氨磺必利治疗可导致患者血清泌乳素含量升高、心电图QT间期延长,而阿立派唑治疗对此几乎没有影响。而且阿立派唑组患者总的不良反应发生率显著低于氨磺必利(P <0.05)。结论 氨磺必利和阿立哌唑均可有效治疗女性精神分裂症,阿立派唑相比于氨磺必利是一种更安全的女性抗精神分裂药物。
Abstract
Objective To compare the efficacy and adverse effect respectively of Amisulpride or Aripiprazole inthe treatment of female patients with schizophrenia.Methods 80 female patients with schizophrenia which were treat-ed in our hospital during January 2013to December 2014 were selected,and then were randomly divided into Amisul-pride group or Aripiprzole group,each group of 40 patients were treated withAmisulpride and Aripiprzole monotherapy,8-week course of treatment,respectively,one day before treatment,after the start of the first 4 weeks and 8 weeksobservation and evaluation related treatment indicators. Results Both Amisulpride and Aripiprzole could significantlyreduce schizophrenic patients PANSS scores(P <0.05),but no statistically significant difference between the twogroups(P >0.05);Amisulpride treatment can lead to the patient serum prolactin levels increased,electrocardiogramQT prolongation,and the group Aripiprzole treatment this had little side effect. Aripiprzole group of patients overall in-cidence of adverse events was significantly lower than amisulpride(P <0.05).Conclusion Aripiprzole is more saferthan Amisulpri as an antischizophrenic drug for female patients.
关键词
氨磺必利;阿立派唑;PANSS;泌乳素;QT间期
KeyWord
Amisulpride;Aripiprzole;PANSS;Prolactin;QT interval
基金项目
页码 418-420
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李强*,张海艳,王锦华,杨亚妮,刘晓凤,刘祥芹,王 锦. 氨磺必利与阿立派唑治疗女性精神分裂症对照研究 [J]. 国际精神病学杂志. 2016; 43; (3). 418 - 420.

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