奥氮平、辛伐他汀联合用药对精神分裂症脂质代谢的临床观察

Olanzapine, simvastatin combination of schizophrenia clinical observation of lipid metabolism

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

武汉大学人民医院 ;
武汉大学人民医院精神科 ;
恩施州优抚医院精神科 ;

摘要
李娟2Cao Hongbo Liu zhongchun FuYanMei Yang ling Cui Linmei Li Juan1.武汉大学人民医院精神科430060;2.恩施州优抚医院精神科 4450001.Wuhan university peoples hospital psychiatry 430060; 2.The enshi materials 445000 psychiatric hospital第一作者:曹宏波(Hongbo Cao)(1980-8)男,湖北恩施,本科,主治医师,主要研究方向:临床精神医学,邮箱:scaohongbo@163.com电话:13636277969通讯作者:刘忠纯 医学博士,教授、主任医师,硕士生导师。武汉大学人民医院精神科 研究方向抑郁症和双相障碍的整合治疗、心理咨询和心理治疗。 研究方向:抑郁症障碍的诊疗及发病机制8253369【摘要】 探讨抗精神分裂症药物奥氮平联合辛伐他汀治疗对患者的临床效果及脂质代谢的影响。方法 选取2012年1月~2015年6月在本院精神科治疗的48例符合纳入标准的精神分裂症患者采用抽签法进行随机分组,其中观察组(奥氮平+辛伐他汀)和对照组(奥氮平)各24例,疗程8周。结果 治疗前、治疗2周、4周、8周,两组患者的PANSS评分差异无统计学意义(P>0.05),治疗2周、4周、8周,两组患者的PANSS评分均呈逐渐降低的趋势(P<0.05);治疗前,两组患者的TG、TC、HDL-C、LDL-C、FPG、Fins、BMI差异无统计学意义(P>0.05),治疗8周后,观察组患者的TG、TC、LDL-C、FPG、Fins均显著的低于对照组(P<0.05);治疗后,对照组患者的TG、TC、LDL-C、FPG、Fins较治疗前显著的提高(P<0.05)。结论 奥氮平联合辛伐他汀治疗精神分裂症患者不会影响治疗效果,同时能够有效减轻奥氮平治疗过程中引起血脂、血糖代谢紊乱。
Abstract
【Abstract】Objective To investigate the anti schizophrenia drug olanzapine combined with therapeutic effects of simvastatin on lipid metabolism and the clinical effect of the patients. Methods Selected 48 patients with schizophrenia treated in our hospital from January 2012 to June 2015 were randomly divided into the group with the inclusion criteria,, including observation group (olanzapine + simvastatin) and control group (olanzapine) 24 each Example 8 weeks. Results Before treatment, two weeks, four weeks, eight weeks, PANSS scores between the two groups was not statistically significant (P> 0.05), for two weeks, four weeks, eight weeks, both groups showed decreased PANSS score a trend (P <0.05); before treatment, two groups of patients TG, TC, HDL-C, LDL-C, FPG, Fins, BMI was no significant difference (P> 0.05), after treatment, the observation group patients TG, TC, LDL-C, FPG, Fins were significantly lower than the control group (P <0.05); After 8 weeks of treatment, the control group of patients with TG, TC, LDL-C, FPG, Fins than before treatment significantly increased (P <0.05). Conclusion Olanzapine combined with simvastatin in patients with schizophrenia will not affect the treatment effect, and can effectively reduce the olanzapine treatment process caused by lipids, blood glucose metabolism.
关键词
【关键词】奥氮平;辛伐他汀;脂质;代谢;精神分裂症
KeyWord
【Key words】Olanzapine; simvastatin; lipid; Metabolism; schizophrenia
基金项目
页码 985-988
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曹宏波,刘忠纯*,付艳梅,杨玲,崔林梅,李娟. 奥氮平、辛伐他汀联合用药对精神分裂症脂质代谢的临床观察 [J]. 国际精神病学杂志. 2016; 43; (6). 985 - 988.

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