首页|奥氮平与碳酸锂缓释片联合应用于伴攻击行为精神分裂症患者中的临床效果分析

奥氮平与碳酸锂缓释片联合应用于伴攻击行为精神分裂症患者中的临床效果分析

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目的 对奥氮平联合碳酸锂缓释片对伴攻击行为精神分裂症患者的临床治疗效果进行探讨.方法 选择90例伴攻击行为精神分裂症患者作为研究对象,随机分为对照组和观察组,每组45例.对照组使用奥氮平单药治疗,观察组使用奥氮平联合碳酸锂缓释片治疗.对比两组患者的临床疗效、外显攻击行为量表(MOAS)评分、用药不良反应发生情况.结果 观察组患者的总有效率95.56% 显著高于对照组的80.00%(P<0.05).治疗后,观察组患者言语攻击、财产攻击、对自身攻击以及体力攻击评分分别为(0.21±0.11)、(0.66±0.57)、(0.68±0.42)、(0.41±0.35)分,显著低于对照组的(0.95±0.21)、(1.89±0.62)、(1.72±0.51)、(1.21±0.36)分(P<0.05).观察组患者用药不良反应发生率4.44%明显低于对照组的17.78%(P<0.05).结论 对伴攻击行为精神分裂症患者进行临床治疗时联用奥氮平与碳酸锂缓释片,能够有效改善患者的临床症状,促进治疗效果及安全性进一步提高.
Analysis of the clinical effect of olanzapine combined with lithium carbonate sustained-release tablets in schizophrenic patients with aggressive behavior
Objective To explore the clinical effect of olanzapine combined with lithium carbonate sustained-release tablets in schizophrenic patients with aggressive behavior. Methods 90 patients with schizophrenia were selected as research subjects,all of whom had aggressive behavior. The patients were randomly divided into a control group and an observation group,with 45 cases in each group. Patients in the control group were treated with olanzapine monotherapy,and patients in the observation group were treated with olanzapine and lithium carbonate sustained-release tablets. The clinical efficacy,Modified Overt Aggression Scale (MOAS) score,and adverse drug reactions of the two groups were compared. Results The total effective rate of 95.56% in the observation group was significantly higher than 80.00% in the control group (P<0.05). After treatment,the scores of verbal aggression,property aggression,self-aggression and physical aggression were (0.21±0.11),(0.66±0.57),(0.68±0.42) and (0.41±0.35) points in the observation group,which were significantly lower than (0.95±0.21),(1.89±0.62),(1.72±0.51) and (1.21±0.36) points in the control group (P<0.05). The incidence of adverse drug reactions of 4.44% in the observation group was significantly lower than 17.78% in the control group (P<0.05). Conclusion The combination of olanzapine and lithium carbonate sustained-release tablets can improve the clinical symptoms of schizophrenia patients with aggressive behavior,and promote the further improvement of treatment effect and safety.

OlanzapineLithium carbonate sustained-release tabletsAggressive behaviorSchizophrenicEffect

何磊英、武文奇

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201515 上海市金山区精神卫生中心精神科

奥氮平 碳酸锂缓释片 伴攻击行为 精神分裂症 效果

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(23)