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齐拉西酮联合丙戊酸钠缓释片治疗Ⅰ型双相情感障碍患者的效果

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目的:观察齐拉西酮联合丙戊酸钠缓释片治疗Ⅰ型双相情感障碍患者的效果.方法:选取 2022 年 2 月至 2023 年 6 月该院收治的 120 例Ⅰ型双相情感障碍患者进行前瞻性研究,按随机数字表法将其分为对照组与观察组各 60 例.对照组采用丙戊酸钠缓释片治疗,观察组在对照组基础上联合齐拉西酮治疗.比较两组临床疗效,治疗前后抑郁[抑郁自评量表(SDS)]评分、躁狂[杨氏躁狂状态评定量表(YMRS)]评分、神经递质指标[5-羟色胺(5-HT)、多巴胺(DA)]水平,以及不良反应发生率.结果:观察组治疗总有效率为95.00%(57/60),高于对照组的 83.33%(50/60),差异有统计学意义(P<0.05);治疗后,两组SDS、YMRS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组5-HT、DA水平均低于治疗前,且观察组低于对照组,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:齐拉西酮联合丙戊酸钠缓释片治疗Ⅰ型双相情感障碍患者可提高治疗总有效率,降低SDS、YMRS评分和神经递质指标水平,其效果优于单纯丙戊酸钠缓释片治疗.
Effects of Ziprasidone combined with Sodium valproate sustained-release tablets in treatment of patients with type Ⅰ bipolar disorders
Objective:To observe effects of Ziprasidone combined with Sodium valproate sustained-release tablets in treatment of patients with type Ⅰ bipolar disorders.Methods:A prospective study was conducted on 120 patients with type I bipolar disorders admitted to the hospital from February 2022 to June 2023.According to the random number table method,they were divided into control group and observation group,60 cases in each group.The control group was treated with Sodium valproate sustained-release tablets,while the observation group was treated with Ziprasidone on the basis of that of the control group.The clinical efficacy,the mania[the depression symptom[self-rating depression scale(SDS)]score,Young mania rating scale(YMRS)]score,the neurotransmitter index[5-hydroxytryptamine(5-HT),dopamine(DA)]levels before and after the treatment,and incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was 95.00%(57/60),which was higher than 83.33%(50/60)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of SDS and YMRS in the two groups were lower than those before the treatment,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The levels of 5-HT and DA in the two groups were lower than those before the treatment,those in the observation group were lower 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:Ziprasidone combined with Sodium valproate sustained-release tablets in the treatment of the patients with type I bipolar disorders can improve the total effective rate of treatment,reduce the SDS scores,the YMRS scores and the neurotransmitter index levels.Moreover,it is superior to simple Sodium valproate sustained-release tablets treatment.

Type IBipolar disorderZiprasidoneSodium valproate sustained-release tabletsManiaDepressive symptomsNeurotransmitter

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驻马店市第二人民医院药学部,河南 驻马店 463000

Ⅰ型 双相情感障碍 齐拉西酮 丙戊酸钠缓释片 躁狂 抑郁症状 神经递质

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(16)