首页|涤痰汤联合阿立哌唑、奥氮平治疗精神分裂症的疗效及对血清炎症因子变化的影响

涤痰汤联合阿立哌唑、奥氮平治疗精神分裂症的疗效及对血清炎症因子变化的影响

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目的 研究涤痰汤联合阿立哌唑、奥氮平治疗精神分裂症的疗效及对血清炎性因子变化的影响。方法 选择2021年7月至2023年3月重庆市大足区中医院、重庆市大足区精神卫生中心门诊及住院的符合要求的77例精神分裂症患者为研究对象,分为观察组、对照组,观察组38例、对照组39例。对照组给予阿立哌唑、奥氮平治疗,观察组在对照组的基础上联合涤痰汤治疗,经过8周的治疗后,比较两组患者中医证候积分、阳性和阴性综合征量表(PANSS)评分、血清炎症因子(IL-6、IL-1β、IL-17)水平。结果 观察组总有效率97。37%,对照组总有效率84。65%,两组比较差异有统计学意义(P<0。05);治疗后观察组中医证候各项积分及总积分低于对照组(P<0。05),PANSS阳性症状、阴性症状、一般精神病理及总分也低于对照组(P<0。05),IL-17、IL-6、IL-1β水平均低于对照组(P<0。05)。结论 涤痰汤联合阿立哌唑、奥氮平治疗精神分裂症的临床疗效明显,能进一步降低患者的症状评分,改善患者血清炎症因子水平,治疗安全性较高,值得临床推荐。
Effect of Ditan Decoction combined with aripiprazole and olanzapine in treatment of schizophrenia and its influence on serum inflammatory factors changes
Objective To study the effect of Ditan Decoction combined with aripiprazole and olanzapine in the treatment of schizophrenia and its influence on serum inflammatory factors chnage.Methods Seventy-seven patients with schizophrenia meeting the requirements visiting the outpatient department and hospitalized in Dazu District Hospital of Traditional Chinese Medicine and Dazu District Mental Health Center from July 2021 to March 2023 were selected as the study subjects and divided into the observation group(n=38)and control group(n=39).The control group was treated with aripiprazole and olanzapine,and the observation group was combined with Ditan Decoction on the basis of the control group.After 8 weeks of treatment,the TCM syndrome scores,Positive and Negative Syndrome Scale(PANSS)score,serum inflammatory factors(IL-6,IL-1β,IL-17)levels were compared between the two groups.Results The total effective rate was 97.37%in the observation group and 84.65%in the control group,and the difference was statistically signifi-cant(P<0.05).The TCM syndrome score of each item and total scores after treatment in the observation group were lower than those in the control group(P<0.05),the PANSS positive symptoms,negative symp-toms,general psychopathology and total scores in the observation group were lower than those in the control group(P<0.05).The IL-17,IL-6 and IL-1β levels after treatment in observation group were lower than those in the control group(P<0.05).Conclusion Ditan Decoction combined with aripiprazole and olanzapine has significant clinical efficacy in the treatment of schizophrenia,which could further reduce the symptom score of the patients and improve the serum inflammatory factors levels.The treatment is highly safe and worthy of clinical recommendation.

schizophreniaaripiprazoleolanzapineDitan Decoctionserum inflammatory factor

何玉梅、谢国荣、杨青、段定伦、覃跃、王心龙、罗明贵、董方燕

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重庆市大足区中医院脑病科,重庆 402360

重庆市大足区精神卫生中心精神病科,重庆 402365

精神分裂症 阿立哌唑 奥氮平 涤痰汤 血清炎性因子

2022年重庆市科卫联合医学科研项目

2022MSXM203

2024

重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
年,卷(期):2024.53(19)
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