棕榈酸帕利哌酮对精神分裂症患者生活质量的影响

Effect of Paliperidone Palmitate on Quality of Life in Patients with Schizophrenia.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(2)
作者
作者单位

湖北省武汉市武东医院 ;
上海交通大学医学院附属精神卫生中心临床六科 ;
湖北 省武汉市精神卫生中心 ;
河南省驻马店市精神卫生中心 ;

摘要
目的 探讨棕榈酸帕利哌酮对精神分裂症患者生活质量的影响。方法 将98例患者分成研究组(棕榈酸帕利哌酮)和对照组(奥氮平),研究组口服三天帕利哌酮,无过敏即予棕榈酸帕利哌酮注射;首次150mg,间隔8天100mg,之后每月一次,剂量75~150mg;对照组口服奥氮平,剂量5mg~30mg,分别在治疗前与治疗后4、8、12、16周末采用阳性与阴性症状评定量(PANSS)、临床总体印象量表(CGI)评定精神症状与疗效的变化;生活质量和满意度自评问卷(Q-LES-Q)评定生活质量和满意度;副作用量表(TESS)、实验室、血生化、体质量评价安全性。结果 两组各时点PANSS、CGI、Q-LES-Q评分与治疗前比较均有显著性差异(P <0.05或 P <0.01),PANSS、CGI组间比较差异无显著性(P >0.05);Q-LES-Q治疗后组间比较差异有显著性(P <0.05或 P <0.01),实验室、血生化无差异,体重、催乳素组间比较有差异。结论 棕榈酸帕利哌酮对精神分裂症疗效、副反应与奥氮平相当;对体重及催乳素影响较奥氮平轻,对生活质量和满意度优于奥氮平
Abstract
Abstract】Objective To explore effect of paliperidone on quality of life. Methods 98 patients with schizophreniainto study group(paliperidone)andcontrol group(olanzapine),studygroupweregivenpaliperidonefor threedays, (paliperidone)andcontrol group(olanzapine),studygroupweregivenpaliperidonefor threedays, paliperidone)andcontrol group(olanzapine),studygroupweregivenpaliperidonefor threedays, )andcontrol group(olanzapine),studygroupweregivenpaliperidonefor threedays, and control group(olanzapine),studygroupweregivenpaliperidonefor threedays, (olanzapine),studygroupweregivenpaliperidonefor threedays, olanzapine),studygroupweregivenpaliperidonefor threedays, ),studygroupweregivenpaliperidonefor threedays, study group were given paliperidone for three days,were injected 150mg paliperidone without allergic reaction,thengiven100mginjectionat intervalsof 8days,injected ,thengiven100mginjectionat intervalsof 8days,injected then given 100mg injection at intervals of 8 days,injected ,injected injected75 mg ~ 150 mg monthly. Control group were given 5mg to 30mg orally olanzapine,psychiatricsymptomsandthera- ,psychiatricsymptomsandthera- psychiatric symptoms and thera-peutic effect were assessed by the Positive and Negative Syndrome scale(PANSS)andClinicalGlobalImpressionScale (PANSS)andClinicalGlobalImpressionScale PANSS)andClinicalGlobalImpressionScale )andClinicalGlobalImpressionScale and Clinical Global Impression Scale(CGI)beforeandaftertreatment inthe4 CGI)beforeandaftertreatment inthe4 )beforeandaftertreatment inthe4 before and after treatment in the 4th,8th,12 12th,16 16thweek. Quality of life and satisfaction were evaluated byQuality of Life Enjoyment and Satisfaction Questionnaire(Q-LES-Q),adversereactionswereevaluatedbytreatment (Q-LES-Q),adversereactionswereevaluatedbytreatment Q-LES-Q),adversereactionswereevaluatedbytreatment ),adversereactionswereevaluatedbytreatment adverse reactions were evaluated by treatmentemergent symptom scale(TESS);safetywas evaluatedbylaboratorytests,bloodbiochemistry,bodymass. (TESS);safetywas evaluatedbylaboratorytests,bloodbiochemistry,bodymass. TESS);safetywas evaluatedbylaboratorytests,bloodbiochemistry,bodymass. );safetywas evaluatedbylaboratorytests,bloodbiochemistry,bodymass. safety was evaluated by laboratory tests,bloodbiochemistry,bodymass. ,bloodbiochemistry,bodymass. blood biochemistry,bodymass. ,bodymass. body mass. Results The differences of the PANSS,CGIscoresat eachtimepoint weresignificant beforeandaftertreatment ,CGIscoresat eachtimepoint weresignificant beforeandaftertreatment CGI scores at each time point were significant before and after treatment P <0.05或P <0.01),wasnot significant betweenthetwogroups( ),wasnot significant betweenthetwogroups( was not significant between the two groups(P >0.05).Thedifferencesof Q-LES-Qscoresweresignificant ).Thedifferencesof Q-LES-Qscoresweresignificant .The differences of Q-LES-Q scores were significantafter treatment(P <0.05或 P <0.01),laboratorytests,bloodbiochemistrydidnot changesignificantly,weight mass ),laboratorytests,bloodbiochemistrydidnot changesignificantly,weight mass laboratory tests,bloodbiochemistrydidnot changesignificantly,weight mass ,bloodbiochemistrydidnot changesignificantly,weight mass blood biochemistry did not change significantly,weight mass ,weight mass weight massand prolactin levels were increased after treatment. Conclusion The efficacy and side effects of paliperidone in patientswith schizophrenia,wereequal toolanzapine;lessinfluenceonbodymassandprolactinlevelsthanolanzapine,were ,wereequal toolanzapine;lessinfluenceonbodymassandprolactinlevelsthanolanzapine,were were equal to olanzapine;lessinfluenceonbodymassandprolactinlevelsthanolanzapine,were ;lessinfluenceonbodymassandprolactinlevelsthanolanzapine,were less influence on body mass and prolactin levels than olanzapine,were ,were wereprior to olanzapine on quality of life and satisfaction.
关键词
棕榈酸帕利哌酮;精神分裂症;生活质量
KeyWord
Paliperidone palmitate;Schizophrenia;QualityofLife ;
基金项目
页码 285-287
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李四冬*,戢汉斌,巫 珺,徐汉明,孙群星. 棕榈酸帕利哌酮对精神分裂症患者生活质量的影响 [J]. 国际精神病学杂志. 2016; 43; (2). 285 - 287.

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