首页|奥氮平对精神分裂症患者的认知功能及血清炎性因子的影响

奥氮平对精神分裂症患者的认知功能及血清炎性因子的影响

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目的 探讨奥氮平对精神分裂症患者的认知功能及血清炎性因子水平的影响.方法 纳入临汾市第五人民医院2020年1月~2023年2月的84例精神分裂症患者为研究对象,按抽签法随机法分为两组,利培酮组41例,奥氮平组43例.利培酮组采用利培酮治疗,奥氮平组采用奥氮平治疗,均治疗12周.比较治疗前后阴性和阳性症状量表(positive and negative syndrome scale,PANSS)、蒙特利尔认知评估量表(montreal cognitive assessment,MoCA)以及血清炎性因子水平.结果 治疗后两组PANSS各项评分均显著低于治疗前,治疗后奥氮平组显著低于利培酮组(P<0.05);治疗后两组MoCA评分显著升高,血清白介素-6(interleakin-6,IL-6)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)水平显著降低,且治疗后奥氮平组MoCA评分高于利培酮组,血清炎性因子水平显著低于利培酮组(P<0.05).结论 奥氮平治疗精神分裂症患者能够获得显著的临床疗效,并且能够促进其认知功能改善,可能与下调血清炎性因子水平有关.
Effects of olanzapine on cognitive function and serum inflammatory factor levels in patients with schizophrenia
Objective To investigate the effects of olanzapine treatment for schizophrenia patients on cognitive function and serum inflammatory factor levels.Methods A total of 84 patients with schizophrenia from January 2020 to February 2023 in the Fifth People's Hospital of Linfen City were included.They were divided into two groups accord-ing to the randomization method of lottery,41 cases in the risperidone group and 43 cases in the observation group.The risperidone group was treated with risperidone and the olanzapine group was treated with olanzapine,both for 12 weeks.The negative and positive syndrome scale(PANSS),Montreal cognitive assessment scale(MoCA)and serum inflammatory factor levels were compared before and after treatment.Results After treatment,all PANSS scores were significantly lower in both groups than before treatment,and the olanzapine group was significantly lower than the ris-peridone group after treatment(P<0.05).The MoCA score was significantly higher and the serum interleakin-6(IL-6)and tumor necrosis factor-α(TNF-α)levels were significantly lower in both groups after treatment,and the MoCA score was higher in the olanzapine group and the serum inflammatory factor level was significantly lower than that in the risperidone group after treatment(P<0.05).Conclusion Olanzapine treatment for schizophrenia was able to achieve significant clinical efficacy and promote improved cognitive function,possibly associated with downregulation of serum inflammatory factor levels.

OlanzapineSchizophreniaCognitive functionInflammatory factors

石临娟、王艳芳、苏永仙

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临汾市第五人民医院精神科(临汾,041000)

奥氮平 精神分裂症 认知功能 炎性因子

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(1)
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