首页|阿立哌唑联合帕利哌酮治疗对精神分裂症患者认知功能及神经营养因子的影响

阿立哌唑联合帕利哌酮治疗对精神分裂症患者认知功能及神经营养因子的影响

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目的 分析精神分裂症患者采用阿立哌唑、帕利哌酮结合治疗的效果.方法 方便选取南京市江宁区第二人民医院于2021年1月—2023年6月接诊的106例精神分裂症患者为研究对象,按照随机数表法分为对照组、观察组,各53例.对照组采用帕利哌酮治疗,观察组采用阿立哌唑联合帕利哌酮治疗.对比两组治疗效果、神经营养因子、认知功能评分和不良反应发生率.结果 观察组治疗总有效率(94.34%)低于对照组,差异有统计学意义(x2=4.296,P<0.05).观察组各神经营养因子水平均高于对照组,差异有统计学意义(P均<0.05).观察组认知功能评分高于对照组,差异有统计学意义(P<0.05).观察组不良事件总发生率低于对照组,差异有统计学意义(x2=4.970,P<0.05).结论 对于精神分裂症患者,同时使用帕利哌酮、阿立哌唑治疗具有一定的优势,可以最大程度改善患者的神经功能、提高认知功能,且不良事件发生率较低.
Effects of Aripiprazole Combined with Paliperidone Treatment on Cogni-tive Function and Neurotrophic Factor in Patients with Schizophrenia
Objective To analyze the effect of the combined treatment with aripiprazole and paliperidone in patients with schizophrenia.Methods 106 patients with schizophrenia seen at Nanjing Jiangning District Second People's Hos-pital from January 2021 to June 2023 were conveniently selected as the study objects,and divided into a control group and an observation group of 53 cases each according to the random number table method.The control group was treated with paliperidone,and the observation group was treated with aripiprazole combined with paliperidone.Com-pare the treatment effect,neurotrophic factor,cognitive function score and incidence of adverse reactions between the two groups.Results The total effective rate of treatment in the observation group(94.34%)was lower than that in the control group,and the difference was statistically significant(x2=4.296,P<0.05).The levels of all neurotrophic factors in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).The cognitive function score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The total incidence of adverse events in the observation group was lower than that in the control group,and the difference was statistically significant(x2=4.970,P<0.05).Conclusion For patients with schizophrenia,simultaneous treatment with paliperidone and aripiprazole has certain advantages,which can maximize the improvement of patients'neurological function and cognitive function,and the incidence of adverse events is lower.

SchizophreniaPaliperidoneAripiprazoleTherapeutic effectCognitive functionNeurotrophic factorAdverse event

史成香、毛红军、潘信明、文璐、胡秀秀、张杰

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南京市江宁区第二人民医院精神科,江苏南京 211100

精神分裂症 帕利哌酮 阿立哌唑 治疗效果 认知功能 神经营养因子 不良事件

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(15)