首页|布南色林对女性精神分裂症患者短期内泌乳素水平及月经的影响研究

布南色林对女性精神分裂症患者短期内泌乳素水平及月经的影响研究

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目的 探讨女性精神分裂症患者采用布南色林的疗效及对泌乳素水平和月经的影响。方法 采用随机数字表法将 2021 年 1 月至 2022 年 1 月赣州市第三人民医院收治的女性精神分裂症患者 120 例分为三组,各 40 例。对照 1 组采用奥氮平治疗,对照 2 组采用利培酮治疗,观察组采用布南色林治疗,均治疗 8 周。比较三组治疗效果、性激素、月经情况及不良反应。结果 三组治疗总有效率比较,差异无统计学意义(P>0。05)。治疗后,对照 1 组、对照 2 组泌卵泡生成激素(FSH)、黄体生成激素(LH)及雌二醇(E2)水平均比治疗前低,泌乳素(PRL)、睾酮(T)水平均比治疗前高,差异有统计学意义(P<0。05);观察组PRL、FSH、LH、T、E2 水平与治疗前比较,差异无统计学意义(P>0。05);观察组月经延迟发生率比对照 1 组、对照 2 组低,差异有统计学意义(P<0。05);三组闭经发生率比较,差异无统计学意义(P>0。05)。观察组不良反应发生率比对照 1 组、对照 2 组低,差异有统计学意义(P<0。05)。结论 女性精神分裂症患者采用布南色林治疗效果满意,对PRL及月经影响小,并可减少不良反应发生。
Study on the Effect of Blonanserin on Short-term Prolactin Level and Menstruation in Female Schizophrenics
Objective To explore the effect of the treatment of female schizophrenic patients with blonanserin and its impact on prolactin level and menstruation.Methods 120 female schizophrenic patients admitted to Ganzhou Third People's Hospital from January 2021 to January 2022 were divided into three groups with 40 cases each.The control group 1 was treated with olanzapine,the control group 2 was treated with risperidone,and the observation group was treated with blonanserin for 8 weeks.The treatment effect,sex hormone,menstrual status and adverse reactions were compared among the three groups.Results There was no significant difference in the total effective rate among the three groups(P>0.05).After treatment,the levels of follicle stimulating hormone(FSH),luteinizing hormone(LH)and estradiol(E2)in control group 1 and control group 2 were lower than those before treatment,and the levels of prolactin(PRL)and testosterone(T)were higher than those before treatment,with statistically significant difference(P<0.05);there was no statistically significant difference in levels of PRL,FSH,LH,T,E2 between the observation group after treatment and before treatment(P>0.05).The incidence of delayed menstruation in the observation group was lower than that in the control group 1 and 2 with statistically significant difference(P<0.05);there was no statistical difference in the incidence of amenorrhea among the three groups(P>0.05);the incidence of adverse reactions in the observation group was lower than that in the control group 1 and the control group 2 with statistically significant difference(P<0.05).Conclusion The treatment of female schizophrenic patients with blonanserin is effective,has little effect on PRL and menstruation,and can reduce the occurrence of adverse reactions.

SchizophreniaBlonanserinProlactinMenstruation

胡春华、李味味、孙蔚华、刘旺林

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赣州市第三人民医院,江西 赣州 341000

精神分裂症 布南色林 泌乳素 月经

江西省卫生健康委科技计划

202312084

2024

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江西省药学会

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影响因子:0.672
ISSN:1672-2809
年,卷(期):2024.21(1)
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