首页|哌罗匹隆与利培酮治疗精神分裂症的效果分析

哌罗匹隆与利培酮治疗精神分裂症的效果分析

Analysis of the Therapeutic Effect of Perospirone and Risperidone in the Treatment of Schizophrenia

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目的:探讨哌罗匹隆与利培酮治疗精神分裂症的应用效果.方法:选取吉安市第三人民医院 2021 年5月至2023年12月收治的100例精神分裂症患者,依据治疗方法的不同分为哌罗匹隆组与利培酮组,每组各50例.哌罗匹隆组采用哌罗匹隆治疗,利培酮组采用利培酮治疗.比较两组患者精神症状情况、认知功能、血清泌乳素(PRL)水平.结果:治疗 8 周后,两组患者阳性和阴性精神症状评定量表(PANSS)各项评分及总分低于治疗前,且利培酮组低于哌罗匹隆组,差异具有统计学意义(P<0.05).治疗 8 周后,两组患者蒙特利尔认知评估量表(MoCA)各项评分及总分高于治疗前,且利培酮组高于哌罗匹隆组,差异具有统计学意义(P<0.05).治疗 8 周后,利培酮组患者血清PRL水平高于治疗前,且高于哌罗匹隆组,差异具有统计学意义(P<0.05);而哌罗匹隆组患者血清PRL水平与治疗前比较,差异无统计学意义(P>0.05).结论:利培酮治疗精神分裂症的效果更佳,对患者精神症状及认知功能的改善更为显著.
Objective To explore the application effect of perospirone and risperidone in the treatment of schizophrenia.Methods A total of 100 patients with schizophrenia admitted to the Third People's Hospital of Ji'an City from May 2021 to December 2023 were selected and divided into two groups based on different treatment methods:the perospirone group and the risperidone group,with 50 patients in each group.The perospirone group was treated with perospirone,while the risperidone group was treated with risperidone.The mental symptoms,cognitive function,and serum prolactin(PRL)level were compared between the two groups.Results After 8 weeks of treatment,the scores and total scores of positive and negative syndrome scale(PANSS)in both groups of patients were lower than those before treatment,and the scores of the risperidone group were lower than those in the perospirone group,with statistical significances(P<0.05).After 8 weeks of treatment,the scores and total scores of Montreal cognitive assessment(MoCA)in both groups of patients were higher than those before treatment,and the scores of the risperidone group was higher than those in the perospirone group,with statistical significances(P<0.05).After 8 weeks of treatment,the serum level of PRL in the risperidone group was higher than that before treatment and higher than that in the perospirone group,with statistical significance(P<0.05);there was no statistically significant difference in serum PRL level of patients in the perospirone group compared to that before treatment(P>0.05).Conclusion Risperidone has a better therapeutic effect on schizophrenia,with more significant improvements in patients'mental symptoms and cognitive function.

SchizophreniaPerospironeRisperidoneCognitive function

焦峰、曹波

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吉安市第三人民医院,江西 吉安 343000

精神分裂症 哌罗匹隆 利培酮 认知功能

吉安市指导性科技计划项目

115

2024

深圳中西医结合杂志
深圳市中西医结合临床研究所

深圳中西医结合杂志

影响因子:0.692
ISSN:1007-0893
年,卷(期):2024.34(14)
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