首页|奥氮平联合丙戊酸镁缓释片治疗精神分裂症患者阳性症状的临床效果

奥氮平联合丙戊酸镁缓释片治疗精神分裂症患者阳性症状的临床效果

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目的 探究奥氮平联合丙戊酸镁缓释片治疗精神分裂症患者阳性症状的临床效果.方法 选取山东省曲阜市精神病防治院 2021 年6 月—2023 年6 月收治的 100 例精神分裂症患者为研究对象,按照随机数字表法将患者分为对照组及研究组,每组 50 例.对照组采用奥氮平治疗,研究组采用奥氮平联合丙戊酸镁缓释片治疗.对比两组患者的精神损伤状况、治疗效果、不良反应发生情况及生活质量.结果 治疗前,两组的阳性与阴性症状量表(PANSS)阳性症状评分比较,差异无统计学意义(P<0.05);治疗 2 个月后,研究组的PANSS阳性症状评分为(10.12±2.04)分,低于对照组的(15.17±1.89)分,差异有统计学意义(P<0.05).研究组的治疗总有效率为 96.00%,高于对照组的 84.00%,差异有统计学意义(P<0.05).两组的不良反应发生率比较,差异无统计学意义(P<0.05).治疗前,两组的生活质量综合评定问卷中各个维度评分比较,组间差异无统计学意义(P>0.05);治疗 2 个月后,研究组的心理功能、社会功能、物质生活状态、躯体功能评分分别为(72.56±6.12)分、(70.18±6.24)分、(74.57±5.23)分、(75.37±5.47)分,均高于对照组的(64.35±4.23)分、(58.12±4.18)分、(66.42±4.26)分、(69.12±3.28)分,组间差异有统计学意义(P<0.05).结论 精神分裂症患者采用奥氮平联合丙戊酸镁缓释片治疗的效果理想,能明显改善其阳性症状和生活质量,且不良反应少,值得临床推广使用.
Clinical Effect of Olanzapine Combined with Magnesium Valproate Sustained-Release Tablets in the Treatment of Positive Symptoms in Schizophrenia Patients
Objective To investigate the clinical effect of olanzapine combined with magnesium valproate sustained-release tablets in the treatment of positive symptoms in schizophrenia patients.Methods A total of 100 patients with schizophrenia admitted to the Qufu Psychiatric Hospital of Shandong Province from June 2021 to June 2023 were selected as the study objects and randomly divided into a control group and a study group according to random number table method,with 50 cases in each group.The control group was treated with olanzapine,and the study group was treated with olanzapine combined with magnesium valproate sustained-release tablets.The mental injury status,therapeutic effect,occurrence of adverse reactions and quality of life were compared between the two groups.Results Before treatment,there was no significant difference in positive symptom score of the Postive and Negative Symptom Scale(PANSS)between the two groups(P<0.05);after 2 months of treatment,the PANSS positive symptom score of the study group was(10.12±2.04)points,which was lower than(15.17±1.89)points of the control group,the difference was statistically significant(P<0.05).The total effective rate of the study group was 96.00%,which was higher than 84.00%of the control group,the difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P<0.05).Before treatment,there were no significant differences between the two groups in all dimension scores of the generic quality of life inventory-74(P>0.05);after 2 months of treatment,the scores of psychological function,social function,state of material life and physical function of the study group were(72.56±6.12)points,(70.18±6.24)points,(74.57±5.23)points and(75.37±5.47)points,respectively,which were higher than(64.35±4.23)points,(58.12±4.18)points,(66.42±4.26)points,(69.12±3.28)points in the control group,the differences between the groups were statistically significant(P<0.05).Conclusion The effect of olanzapine combined with magnesium valproate sustained-release tablets in the treatment of schizophrenia is ideal,can significantly improve the positive symptoms and quality of life,and the adverse reactions are less,which is worthy of clinical promotion.

SchizophreniaOlanzapineMagnesium valproate sustained-release tabletsPositive symptomsClinical efficacyQuality of life

徐淑丽

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山东省曲阜市精神病防治院精神三科,山东济宁 273100

精神分裂症 奥氮平 丙戊酸镁缓释片 阳性症状 临床疗效 生活质量

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(16)
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