首页|芍药甘草颗粒干预抗精神病药物所致高泌乳素血症的临床观察

芍药甘草颗粒干预抗精神病药物所致高泌乳素血症的临床观察

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目的:探讨抗精神病药物所致高泌乳素血症(HPRL)患者应用芍药甘草颗粒干预的效果.方法:采用随机数字表法将2022年7月—2023年11月本院收治的80例抗精神病药物所致HPRL患者分为两组.对照组40例患者未予以干预,观察组40例患者予以芍药甘草颗粒剂干预,温水冲服,分早晚2次分服,干预8周.比较两组有效性、泌乳素(PRL)水平、临床总体印象量表(CGI)评分及不良反应.结果:观察组干预总有效率高于对照组,有统计学差异(P<0.05).两组干预前PRL水平及临床总体印象-严重度量表(CGI-S)评分比较无统计学差异(P>0.05);两组干预4、8周末PRL水平及CGI-S评分低于干预前;两组干预8周末PRL水平及CGI-S、临床总体印象-改善量表(CGI-I)低于干预4周末,且观察组低于对照组,有统计学差异(P<0.05).经8周干预后,两组最常见的不良反应为头痛,另外还有恶心呕吐、头晕、失眠等,两组不良反应发生率比较无统计学差异(P>0.05).结论:抗精神病药物所致HPRL患者应用芍药甘草颗粒干预可有效降低PRL水平,改善疾病严重程度,促进症状改善,值得临床推广应用.
Clinical observation on the intervention of Shaoyao Gancao granules in hyperprolactinemia caused by antipsychotic drugs
Objective:To explore the intervention effect of Shaoyao Gancao granules on patients with hyperprolactinemia(HPRL)caused by antipsychotic drugs.Methods:A random number table was used to divide 80 patients with antipsychotic drug-induced HPRL admitted to our hospital between July 2022 and November 2024 into two groups.Forty patients in the control group were not given the intervention,and 40 patients in the observation group were given the intervention of Shaoyao Gancao granules,which were administered in warm water and divided into morning and evening doses.Both groups underwent intervention for 8 weeks.Efficacy,prolactin(PRL)level,clinical overall impression scale(CGI)score,and adverse reactions were compared between the two groups.Results:The total effective rate in the observation group was significantly higher than that in the control group(P<0.05).There were no statistically significant differences in PRL levels or clinical overall Impression Severity Scale(CGI-S)scores between the two groups before the intervention(P>0.05).The PRL levels and CGI-S scores of the two groups at the end of interventions 4 and 8 were lower than those before the intervention.The PRL level,CGI-S,and clinical overall Impression Improvement Scale(CGI-I)of the two groups were significantly lower at the end of intervention 8 weeks than at the end of intervention 4 weeks,and the observation group was lower than the control group,with statistical differences(P<0.05).After eight weeks of intervention,the most common adverse reactions between the two groups were headache,nausea,vomiting,dizziness,and insomnia.There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:The intervention of Shaoyao Gancao granules in patients with HPRL induced by antipsychotic drugs can effectively reduce PRL levels,improve disease severity,and promote symptom improvement,which is worthy of clinical application.

hyperprolactinemiaantipsychotic drugsShaoyao Gancao granulesprolactinadverse reactions

黄美英、舒菊红、邢成涛、周云

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上饶市第三人民医院,江西 334000

高泌乳素血症 抗精神病药物 芍药甘草颗粒 泌乳素 不良反应

江西省中医药管理局科技计划项目

2022A318

2024

天津药学
天津市医药集团有限公司 天津市药学会

天津药学

影响因子:0.794
ISSN:1006-5687
年,卷(期):2024.36(4)