首页|齐拉西酮与利培酮对精神分裂症患者认知功能的影响

齐拉西酮与利培酮对精神分裂症患者认知功能的影响

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目的 探究采用齐拉西酮、利培酮治疗精神分裂症患者对其认知功能的影响.方法 选取内蒙古自治区呼伦贝尔市海拉尔区人民医院精神科 2021年10月—2023年 5 月收治的 60 例精神分裂症患者为研究对象,按随机数字表法将其分为对照组及观察组,每组30例.对照组采用利培酮治疗,观察组采用齐拉西酮治疗,均持续 4 周.对比两组患者的治疗效果、认知功能、精神症状及安全性.结果 观察组的治疗总有效率为96.67%,高于对照组的 86.67%,但两组间比较,差异无统计学意义(P>0.05).治疗前,两组的威斯康星卡片分类测试(WCST)中各项评分比较,组间差异无统计学意义(P>0.05);治疗后,观察组的WCST中总正确应答数、持续反应数、完成分类数均较对照组多,总错误应答数、持续错误数均较对照组少,组间差异有统计学意义(P<0.05).治疗前,两组的阴性与阳性症状量表(PANSS)中各个维度评分比较,组间差异无统计学意义(P>0.05);治疗后,两组的PANSS中阳性症状、阴性症状、一般病理症状评分均低于治疗前,组间差异有统计学意义(P<0.05),但两组的各项评分比较,组间差异无统计学意义(P>0.05).观察组的不良反应发生率为 13.33%,低于对照组的 30.00%,但两组间比较,差异无统计学意义(P>0.05).结论 齐拉西酮与利培酮治疗精神分裂症患者可获得相近的临床效果,且均能减轻其精神症状,但齐拉西酮在改善认知功能方面的效果更为显著,且不良反应相对较少.
Effects of Ziprasidone and Risperidone on Cognitive Function in Patients with Schizophrenia
Objective To explore the effects of ziprasidone and risperidone on cognitive function in patients with schizophrenia.Methods 60 patients with schizophrenia admitted to the Psychiatric Department of Hailaer District People's Hospital of Hulunbuir City,Inner Mongolia Autonomous Region from October 2021 to May 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 30 cases in each group.The control group was treated with risperidone and the observation group was treated with ziprasidone.Both groups were treated for 4 weeks.The therapeutic effect,cognitive function,psychiatric symptoms and safety of the two groups were compared.Results The total effective rate of the observation group was 96.67%,which was higher than 86.67%of the control group,but there was no significant difference between the two groups(P>0.05).Before treatment,there were no significant differences in the scores of Wisconsin Card Sorting Test(WCST)between the two groups(P>0.05);after treatment,the total number of correct responses,the number of sustained responses and the number of completed classification in the observation group were more than those in the control group,while the total number of false responses and the number of sustained errors were less than those in the control group,and the differences between the groups were statistically significant(P<0.05).Before treatment,there were no significant differences in the Positive And Negative Syndrome scale(PANSS)scores between the two groups(P>0.05);after treatment,the scores of positive symptoms,negative symptoms and general pathological symptoms of PANSS in the two groups were lower than those before treatment,and the differences were statistically significant(P<0.05),but there were no statistically significant differences in various scores between the two groups(P>0.05).The incidence of adverse reactions in the observation group was 13.33%,lower than 30.00%in the control group,but there was no statistical significance between the two groups(P>0.05).Conclusion Ziprasidone and risperidone can achieve similar clinical effects in the treatment of schizophrenia patients,and both can reduce their mental symptoms,but ziprasidone has a more significant effect on improving cognitive function,and relatively few adverse reactions.

SchizophreniaZirasidoneRisperidoneCognitive functionMental symptomsSecurity

徐永泽、白瑞峰、朱梦鸽

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内蒙古自治区呼伦贝尔市海拉尔区人民医院精神科,内蒙古呼伦贝尔 021000

精神分裂症 齐拉西酮 利培酮 认知功能 精神症状 安全性

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(5)
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