首页|不同剂量舍曲林与齐拉西酮联合用药对伴有抑郁症状的精神分裂症患者的效果

不同剂量舍曲林与齐拉西酮联合用药对伴有抑郁症状的精神分裂症患者的效果

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目的 探讨不同剂量的舍曲林与齐拉西酮联合用药对伴有抑郁症状的精神分裂症患者的效果.方法 选取2018年5月~2021年5月收治的160例精神分裂症伴抑郁症状患者,根据简单随机抽样法将其分为A组(n=60)、B组(n=50)、C组(n=50).A组采用低剂量舍曲林与低剂量齐拉西酮联合用药,B组采用低剂量舍曲林与常规齐拉西酮联合用药,C组采用常规舍曲林与低剂量齐拉西酮联合用药,连续治疗3个月.对比三组患者治疗前后临床症状、抑郁水平、认知功能以及生活质量变化,统计药物不良反应发生情况.结果 治疗后A组蒙哥马利认知评估量表(MoCA)、WHO生存质量量表简化版(WHOQOL-BREF)评分均明显高于B组和C组(P<0.05);A组阳性阴性症状量表(PANSS)、汉密尔顿抑郁量表(HAMD)评分明显低于B组和C组(P<0.05);B、C两组患者间PANSS、HAMD、MoCA、WHOQOL-BREF评分以及3组患者药物不良反应发生情况均无明显差异(P>0.05).结论 实施低剂量舍曲林与低剂量齐拉西酮联合用药可能可以更有效改善伴抑郁的精神分裂症患者的症状及抑郁水平,提高其认知功能及生活质量.
Comparative study of different doses of sertraline combined with ziprasidone in treatment of schizo-phrenic patients with depressive symptoms
Objective To explore the rational dosage of sertraline combined with ziprasidone in schizophrenic patients with depressive symptoms.Methods 160 patients with schizophrenia and depressive symptoms were selected from May 2018 to May 2021 and divided into group A according to simple random sampling method(n=60),group B(n=50)and group C(n=50).Group A was treated with low-dose sertraline combined with low-dose ziprasidone,Group B with low-dose sertraline combined with conventional ziprasidone,and Group C with conventional sertraline combined with low-dose ziprasidone for 3 months.The changes of clinical symptoms,depression level,cognitive function and quality of life before and after treatment,and count the occurrence of adverse drug reactions among three groups were compared.Results After treatment,the scores of MoCA and WHOQOL-BREF in group A were signifi-cantly higher than those in group B and group C(P<0.05).The scores of PANSS and HAMD in group A were signifi-cantly lower than those in group B and group C(P<0.05).There was no significant difference in the scores of PANSS,HAMD,MoCA,WHOQOL-BREF and the occurrence of adverse drug reactions among the patients in group B and group C(P>0.05).Conclusion The combination of low-dose sertraline and low-dose ziprasidone can be better to improve the clinical symptoms and depression level of schizophrenic patients with depressive symptoms,and improve their cognitive function and quality of life.

SchizophreniaSertralineZiprasidoneDepression

杨慧

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宜昌市优抚医院精神科

精神分裂症 舍曲林 齐拉西酮 抑郁水平

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(4)