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阿立哌唑联合利培酮治疗精神分裂症患者的效果

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目的:观察阿立哌唑联合利培酮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 100 例精神分裂症患者进行前瞻性研究,按照抽签法将其分为对照组与观察组各 50 例.对照组予以利培酮治疗,观察组在对照组基础上联合阿立哌唑治疗,两组均治疗 2 个月.比较两组临床疗效,治疗前后精神症状[阳性与阴性症状量表(PANSS)]评分、认知功能[修订版韦氏记忆量表(WMS-RC)]评分,以及不良反应发生率.结果:观察组治疗总有效率为 92.00%(46/50),高于对照组的 74.00%(37/50),差异有统计学意义(P<0.05);治疗后,观察组阳性症状、阴性症状、一般精神病理学症状等PANSS评分均低于对照组,差异有统计学意义(P<0.05);治疗后,观察组即刻记忆、延迟记忆、视觉记忆、延迟视觉记忆等WMS-RC评分均高于对照组,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:阿立哌唑联合利培酮治疗精神分裂症患者可提高治疗总有效率和认知功能评分,降低精神症状评分,效果优于单纯利培酮治疗.
Effects of Aripiprazole combined with Risperidone in treatment of patients with schizophrenia
Objective:To observe the effect of Aripiprazole combined with Risperidone in the treatment of patients with schizophrenia.Methods:A prospective study was conducted on 100 patients with schizophrenia admitted to this hospital from May 2021 to May 2023.According to the lottery method,they were divided into control group and observation group,50 cases in each group.The control group was treated with Risperidone,while the observation group was treated with Aripiprazole on the basis of that of the control group.Both groups were treated for 2 months.The clinical efficacy,the psychiatric symptoms[positive and negative symptom scale(PANSS)]score,the cognitive function[revised Wechsler memory scale(WMS-RC)]score,and the incidence of adverse reactions were compared between the two groups before and after the treatment.Results:The total effective rate of the observation group was 92.00%(46/50),which was higher than 74.00%(37/50)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the PANSS scores of positive symptoms,negative symptoms and general psychopathological symptoms in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the WMS-RC scores of immediate memory,delayed memory,visual memory and delayed visual memory in the observation group were higher than those in 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:Aripiprazole combined with Risperidone in the treatment of the patients with schizophrenia can improve the total effective rate and the cognitive function scores,and reduce the mental symptom scores.Moreover,it is superior to single Risperidone treatment.

AripiprazoleRisperidoneSchizophreniaMental symptomCognitive functionAdverse reaction

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高安恒祥精神病医院精神科,江西 宜春 330811

阿立哌唑 利培酮 精神分裂症 精神症状 认知功能 不良反应

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(13)