首页|碳酸锂与丙戊酸钠联合奥氮平治疗精神分裂症患者的效果比较

碳酸锂与丙戊酸钠联合奥氮平治疗精神分裂症患者的效果比较

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目的:比较碳酸锂与丙戊酸钠联合奥氮平治疗精神分裂症患者的效果.方法:选取 2021 年 5 月至 2023 年 5 月该院收治的82 例精神分裂症患者进行前瞻性研究,根据随机数字表法将其分为研究组与对照组各 41 例.对照组采用丙戊酸钠联合奥氮平治疗,研究组采用碳酸锂联合奥氮平治疗.比较两组治疗前后精神症状[阳性和阴性症状量表(PANSS)]评分、负性情绪[汉密尔顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)]评分、睡眠质量[匹茨堡睡眠质量指数量表(PSQI)]评分、生活质量[精神分裂症患者生活质量量表(SQLS)]评分,以及不良反应发生率.结果:治疗后,两组阳性症状、阴性症状以及一般精神病理症状等PANSS评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);治疗后,两组HAMA、HAMD评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);治疗后,两组PSQI、SQLS评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:碳酸锂联合奥氮平治疗精神分裂症患者可降低精神症状、负性情绪、睡眠质量和生活质量评分,其效果优于丙戊酸钠联合奥氮平治疗.
Comparison of effects of Lithium carbonate and Sodium valproate combined with Olanzapine in treatment of patients with schizophrenia
Objective:To compare effects of Lithium carbonate and Sodium valproate combined with Olanzapine in treatment of patients with schizophrenia.Methods:A prospective study was conducted on 82 patients with schizophrenia admitted to the hospital from May 2021 to May 2023.According to the random number table method,they were divided into study group and control group,41 cases in each group.The control group was treated with Sodium valproate combined with Olanzapine,while the study group was treated with Lithium carbonate combined with Olanzapine.The scores of psychiatric symptoms[positive and negative syndrome scale(PANSS)],negative emotions[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],sleep quality[Pittsburgh sleep quality index scale(PSQI)],quality of life[Schizophrenia quality of life scale(SQLS)],and the incidence of adverse reactions were compared between the two groups before and after the treatment.Results:After the treatment,the PANSS scores of positive symptoms,negative symptoms and general psychopathological symptoms in the two groups were lower than those before the treatment,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the HAMA and HAMD scores of the two groups were lower than those before the treatment,those of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).The PSQI and SQLS scores of the two groups were lower than those before the treatment,those of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Lithium carbonate combined with Olanzapine can reduce the scores of mental symptoms,negative emotions,sleep quality and quality of life in the patients with schizophrenia.Moreover,it is superior to Sodium valproate combined with Olanzapine treatment.

SchizophreniaLithium carbonateSodium valproateOlanzapinePsychiatric symptomNegative emotionSleep quality

陈水源、徐天亮、涂祥建

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丰城市血吸虫病防治站精神科,江西 宜春 331100

精神分裂症 碳酸锂 丙戊酸钠 奥氮平 精神症状 负性情绪 睡眠质量

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(8)
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