首页|喹硫平联合丙戊酸镁治疗双相情感障碍抑郁相患者的临床研究

喹硫平联合丙戊酸镁治疗双相情感障碍抑郁相患者的临床研究

Clinical study of magnesium valproate combined with quetiapine for depressive phase of bipolar affective disorder

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目的:探讨丙戊酸镁缓释片联合富马酸喹硫平对双相情感障碍抑郁相患者的临床疗效及其安全性.方法:选取医院收治的80例双相障碍患者,按就诊顺序分为对照组(40例患者)和研究组(40例患者).对照组服用丙戊酸镁缓释片者,研究组服用喹硫平和丙戊酸镁缓释片者,疗程均为6周.观察两组不良反应、临床效果及治疗前后量表评分差异,分析两组患者治疗前后PRL、TSH、FT4、FT3变化.结果:研究组患者治疗总有效率高于对照组,差异有统计学意义(P<0.05).两组患者PRL、TSH、FT4、FT3水平在治疗前无显著差异(P>0.05),治疗后,两组患者PRL均高于治疗前(P<0.05),治疗后两组患者TSH水平高于治疗前(P<0.05),FT4、FT3水平低于治疗前(P<0.05),两组患者TSH、FT4、FT3水平无显著差异(P>0.05).结论:丙戊酸镁缓释片合并富马酸喹硫平治疗双相情感障碍临床效果明显,且联合用药对比单一药物治疗对甲状腺功能影响差异不大.
Objective:To explore the clinical efficacy and safety of magnesium valproate sustained-release tablets combined with quetiapine in patients with depressive phase of bipolar affective disorder.Methods:A total of 80 patients with bipolar disorder admitted to hospital were selected and divided into a control group of 40 cases and a study group of 40 cases according to their order of visit.The control group received only magnesium valproate sustained-release tablets,while the study group received both quetiapine and magnesium valproate sustained-release tablets,both for a duration of 6 weeks.Adverse reactions,clinical efficacy,and differences in scale scores before and after treatment were observed in both groups.Changes in PRL,TSH,FT4,and FT3 levels before and after treatment were analyzed in both groups.Results:The total effective rate in the study group was higher than the control group's(P<0.05).There was no significant difference in PRL,TSH,FT4,and FT3 levels between the two groups before treatment(P>0.05).After treatment,both groups showed an increase in PRL compared to before treatment(P<0.05),and TSH levels increased while FT4 and FT3 levels decreased in both groups(P<0.05).There was no significant difference in TSH,FT4,and FT3 levels between the two groups after treatment(P>0.05).Conclusion:Magnesium valproate sustained-release tablets combined with quetiapine significantly improve the clinical efficacy of treating bipolar affective disorder with fewer adverse effects.Additionally,the combined treatment has minimal impact on thyroid function compared to single-drug therapy.

bipolar affective disordermagnesium valproatequetiapinethyroid function

孙敏、杨鱻、夏丽

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国药中铁精神病医院 安徽合肥 230021

双相情感障碍 丙戊酸镁 喹硫平 甲状腺功能

2024

安徽医专学报
安徽医学高等专科学校

安徽医专学报

影响因子:0.441
ISSN:2097-0196
年,卷(期):2024.23(2)
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