辽宁医学杂志2024,Vol.38Issue(5) :73-76.

喹硫平联合丙戊酸钠对双相情感障碍患者精神行为症状和认知功能的改善效果

Effects of quetiapine combined with sodium valproate on mental behavioral symptoms and cogni-tive function in patients with bipolar disorder

张端旗
辽宁医学杂志2024,Vol.38Issue(5) :73-76.

喹硫平联合丙戊酸钠对双相情感障碍患者精神行为症状和认知功能的改善效果

Effects of quetiapine combined with sodium valproate on mental behavioral symptoms and cogni-tive function in patients with bipolar disorder

张端旗1
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作者信息

  • 1. 新乡市精神病医院(河南新乡 453241)
  • 折叠

摘要

目的 研究喹硫平联合丙戊酸钠对双相情感障碍患者精神行为症状和认知功能的改善效果.方法 选取2021年3月-2023年3月医院收治的80例双相情感障碍患者,按随机数字表法分为对照组(40例)和观察组(40例),对照组予以丙戊酸钠治疗,观察组给予喹硫平联合丙戊酸钠治疗.两组均在连续用药2个月后,观察患者的精神行为症状情况、认知功能的改善效果以及不良反应发生率.结果 治疗后,两组的贝克躁狂量表(BMRS)和汉密尔顿焦虑量表(HAMD)评分均下降,且观察组下降幅度均大于对照组,简易智力状态检查量表(MMSE)评分均增长,观察组增长幅度高于对照组(P<0.05);观察组与对照组临床有效率(95.00%VS 67.50%)差异有统计学意义(P<0.05);两组的不良反应发生率(17.50%VS 20.00%)差异无统计学意义(P>0.05).结论 喹硫平联合丙戊酸钠对双相情感障碍的临床疗效明显,对患者的认知功能有较大改善,且安全性较好,值得推广.

Abstract

Objective To study the improvement effect of quetiapine combined with sodium valproate on mental behav-ioral symptoms and cognitive function in patients with bipolar disorder.Methods 80 patients with bipolar disorder admitted to the hospital from March 2021 to March 2023 were randomly divided into a control group(40 cases)and an observation group(40 cases)using a random number table method.The control group was treated with sodium valproate,while the ob-servation group was treated with quetiapine combined with sodium valproate.After continuous medication for 2 months,both groups observed the patients'mental and behavioral symptoms,the improvement effect of cognitive function,and the inci-dence of adverse reactions.Results After treatment,the Beck Mania Scale(BMRS)and Hamilton Anxiety Scale(HAMD)scores of both groups decreased,and the decrease in the observation group was greater than that of the control group.The scores of the Simplified Mental State Examination(MMSE)increased,and the increase in the observation group was higher than that of the control group(P<0.05);There was a statistically significant difference in clinical efficacy be-tween the observation group and the control group(95.00%vs 67.50%)(P<0.05);There was no statistically significant difference in the incidence of adverse reactions between the two groups(17.50%vs 20.00%)(P>0.05).Conclusion The clinical efficacy of quetiapine combined with sodium valproate in the treatment of bipolar disorder is significant,with significant improvement in cognitive function and good safety.It is worth promoting.

关键词

喹硫平/丙戊酸钠/双向情感障碍/认知功能/不良反应

Key words

Quetiapine/Valproate/Bipolar disorder(BD)/Cognitive/Adverse reactions

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出版年

2024
辽宁医学杂志
辽宁省医学会

辽宁医学杂志

影响因子:0.339
ISSN:1001-1722
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