首页|氨磺必利联合阿立哌唑治疗精神分裂症的效果分析

氨磺必利联合阿立哌唑治疗精神分裂症的效果分析

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目的 探讨氨磺必利联合阿立哌唑治疗精神分裂症的效果.方法 女性精神分裂症患者62 例,按照双盲法原则划分为观察组与对照组,每组 31 例.两组均使用氨磺必利治疗,观察组加用阿立哌唑治疗.对比两组患者血清催乳素、中枢神经特异蛋白(S100β)、神经营养因子 3(NT-3)、白细胞介素-6(IL-6)水平、认知功能及临床疗效.结果 观察组血清催乳素水平(123.08±28.35)ng/ml低于对照组的(127.10±33.04)ng/ml,但对比无显著差异(P>0.05);观察组认知功能评分(28.48±7.66)分高于对照组的(24.22±7.67)分,差异显著(P<0.05).观察组治疗总有效率 96.77%显著高于对照组的 67.74%,差异显著(P<0.05).治疗后,观察组S100β(104.72±19.31)μg/L、IL-6(4.13±0.88)ng/L均低于对照组的(137.53±21.81)μg/L、(5.09±1.14)ng/L,NT-3(123.72±8.61)ng/L高于对照组的(105.40±9.03)ng/L,差异显著(P<0.05).结论 针对女性精神分裂症患者采用阿立哌唑和氨磺必利联合治疗,不会降低血清催乳素水平,但阿立哌唑能够提高认知功能,可进行临床推广.
The effect analysis of amisulpride combined with aripiprazole in the treatment of schizophrenia
Objective To explore the effect of amisulpride combined with aripiprazole in the treatment of schizophrenia.Methods A total of 62 female patients with schizophrenia were divided into the observation group and the control group according to the double-blind principle,each with 31 cases.Both groups were treated with amisulpride,and the observation group was also treated with aripiprazole.The levels of serum prolactin,soluble protein-100β(S100β),neurotrophin-3(NT-3),interleukin-6(IL-6),cognitive function and clinical efficacy of the two groups were compared.Results the serum prolactin of(123.08±28.35)ng/ml in the observation group was lower than(127.10±33.04)ng/ml in the control group,but there was no significant difference(P>0.05).The cognitive function score of(28.48±7.66)points in the observation group was significantly higher than(24.22±7.67)points in the control group,and the difference was significant(P<0.05).The overall effective rate of 96.77%in the observation group was higher than 67.74%in the control group,and the difference was significant(P<0.05).After treatment,the observation group had S100β of(104.72±19.31)μg/L and IL-6 of(4.13±0.88)ng/L,which were lower than(137.53±21.81)μg/L and(5.09±1.14)ng/L in the control group;NT-3 of(123.72±8.61)ng/L in the observation group was higher than(105.40±9.03)ng/L in the control group;the difference was significant(P<0.05).Conclusion Low-dose aripiprazole and amisulpride treatment for female schizophrenia patients will not reduce serum prolactin levels,but low-dose aripiprazole can improve cognitive function and can be clinically promoted.

AmisulprideAripiprazoleCombination therapySchizophreniaEffectSerum prolactin

胡美霞

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211500 南京市六合区精神病医院(六合区马鞍街道社区卫生服务中心)

氨磺必利 阿立哌唑 联合治疗 精神分裂症 效果 血清催乳素

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(22)