首页|奥氮平、氨磺必利联合西格列汀二甲双胍治疗老年精神分裂症合并糖尿病患者的效果以及对血压、血糖的影响

奥氮平、氨磺必利联合西格列汀二甲双胍治疗老年精神分裂症合并糖尿病患者的效果以及对血压、血糖的影响

Effects of Olanzapine,Amisulapride Combined with Sitagliptin and Met-formin in the Treatment of Elderly Patients with Schizophrenia and Diabe-tes Mellitus and Their Effects on Blood Pressure and Blood Glucose

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目的 分析奥氮平、氨磺必利联合西格列汀二甲双胍治疗老年精神分裂症合并糖尿病的临床疗效以及对血压、血糖产生的影响.方法 回顾性选取2021年1-12月寿宁县精神病医院收治的58例老年精神分裂症合并糖尿病患者的临床资料,依照治疗方法不同分为对照组和观察组,各29例.两组患者均予以奥氮平、氨磺必利联合治疗,在此基础上对照组使用二甲双胍、观察组使用西格列汀二甲双胍,比较两组治疗结果.结果 观察组的治疗总有效率为93.11%,高于对照组的72.41%,差异有统计学意义(P<0.05).治疗前两组临床相关指标对比,差异无统计学意义(P>0.05);治疗后观察组临床相关指标优于对照组,差异有统计学意义(P<0.05).结论 老年精神分裂症合并糖尿病患者采用奥氮平、氨磺必利联合西格列汀二甲双胍进行治疗,有着极好的效果,能有效稳定血糖水平.
Objective To analyze the clinical efficacy of olanzapine,amisulapride combined with sitagliptin and met-formin in the treatment of senile schizophrenia with diabetes mellitus and its effects on blood pressure and blood glu-cose.Methods The clinical data of 58 cases of elderly patients with schizophrenia combined with diabetes mellitus ad-mitted to Shouning County Psychiatric Hospital from January to December 2021 were retrospectively selected,and were divided them into the control group and observation group in accordance with the different treatment methods,each of which consisted of 29 cases.Both groups were given combined treatment with olanzapine and amisulapride.On this basis,metformin was used in the control group and sitagliptin metformin in the observation group.The treat-ment results between two groups were compared.Results The total effective rate of treatment in the observation group was 93.11%,higher than 72.41%in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in clinical indicators between the two groups(P>0.05).After treatment,the observation group's clinical indicators were better than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Olanzapine,amisulapride combined with sitagliptin and metformin in the treatment of elderly patients with schizophrenia and diabetes have excellent effects,which can effectively stabi-lize blood glucose level.

OlanzapineAmisulprideElderlySchizophreniaDiabetes mellitusBlood glucose

李春玉、叶世辉

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寿宁县精神病医院精神病科,福建寿宁 355500

奥氮平 氨磺必利 老年 精神分裂症 糖尿病 血糖

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(4)
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