首页|不同剂量阿立哌唑在氨磺必利所致女性精神分裂症患者高泌乳素血症中的应用效果

不同剂量阿立哌唑在氨磺必利所致女性精神分裂症患者高泌乳素血症中的应用效果

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目的 比较不同剂量阿立哌唑在氨磺必利所致女性精神分裂症患者高泌乳素血症中的应用效果.方法 依据随机数字表法将河南省荣康医院2020年3月至2022年9月收治的102例使用氨磺必利治疗出现高泌乳素症的女性精神分裂症患者分为对照组(51例)和观察组(51例).两组均维持氨磺必利治疗方案,对照组接受常规剂量阿立哌唑(每日10 mg)治疗,观察组接受小剂量阿立哌唑(每日5 mg)治疗,均持续治疗8周.比较两组泌乳素(PRL)水平、阳性与阴性症状量表(PANSS)评分、神经认知功能、炎症水平及不良反应.结果 相较于治疗前,两组治疗8周时血清PRL水平、PANSS评分、威斯康辛卡片分类测验(WCST)、炎症水平均改善(P<0.05),但组间差异无统计学意义(P>0.05);相较于对照组,观察组治疗副反应量表(TESS)评分及不良反应发生率更低(P<0.05).结论 对于氨磺必利所致女性精神分裂症患者的高泌乳素症,小剂量阿立哌唑的疗效与常规剂量相当,可降低PRL水平,减轻精神分裂临床症状,改善患者神经认知功能,降低炎症反应,但小剂量阿立哌唑不良反应更少,安全性更高.
Application Effect of Different Doses of Aripiprazole in Female Schizophrenia Patients with Hyperprolactinemia Caused by Sulfamethoxide
Objective To compare the clinical efficacy of different doses of aripiprazole in the treatment of hyperprolactinemia in female patients with schizophrenia caused by amisulpiride.Methods According to the random number table method,102 female patients with hyperprolactinemia treated with amisulpride at Rongkang Hospital in Henan Province from March 2020 to September 2022 were divided into a control group(51 cases)and an observation group(51 cases).Both groups maintained the treatment regimen of amisulpiride,while the control group received routine dose of aripiprazole(10 mg per day)and the observation group received low-dose aripiprazole(5 mg per day),both of which continued for 8 weeks.The prolactin(PRL)level,positive and negative symptom scale(PANSS)score,neurocognitive function,inflammation level and adverse reactions were compared between the two groups.Results Compared with before treatment,serum PRL levels,PANSS scores,Wisconsin card sorting test(WCST),and inflammation levels improved in both groups after 8 weeks of treatment(P<0.05),but there was no statistically difference between the groups(P>0.05).Compared with the control group,the observation group had lower TESS scores and incidence of adverse reactions(P<0.05).Conclusion For hyperprolactinemia in female patients with schizophrenia caused by amisulpride,low-dose aripiprazole is as effective as conventional doses,reducing PRL levels,alleviating clinical symptoms of schizophrenia,improving patients'neurocognitive function,and reducing inflammatory reactions.However,low-dose aripiprazole has fewer adverse reactions and higher safety.

schizophreniaamisulpiridehyperprolactinemiaaripiprazole

蔡效红、娄渊敏、白虎明

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河南省荣康医院 门诊部 河南洛阳 471000

河南省荣康医院 普通精神科,河南洛阳 471000

洛阳市中医院国医堂,河南洛阳 471000

精神分裂症 氨磺必利 高泌乳素血症 阿立哌唑

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(15)