首页|银杏叶片联合鲁拉西酮片治疗精神分裂症的疗效及对微小RNA神经损伤因子的影响

银杏叶片联合鲁拉西酮片治疗精神分裂症的疗效及对微小RNA神经损伤因子的影响

扫码查看
目的 探讨精神分裂症患者应用银杏叶片联合鲁拉西酮片治疗对其微小RNA(miRNA)及神经损伤因子的影响。方法 选取2022年6月至2023年6月浙江省温州市第七人民医院精神科收治的精神分裂症患者86例,根据随机数字表法将其分为对照组和观察组,各43例。其中对照组给予鲁拉西酮片治疗,观察组在对照组基础上联合应用银杏叶片治疗。观察并比较2组临床疗效、阳性与阴性症状量表(PANSS)评分、miRNA水平、神经细胞因子[神经损伤标志物(S100β)、脑源性神经营养因子(BDNF)、胶质纤维酸性蛋白(GFAP)]水平。结果 治疗1个月和治疗3个月后观察组PANSS评分均低于对照组(t=9。552、7。663,P<0。05),治疗3个月后低于治疗1个月(t=12。105,P<0。05),且观察组临床总有效率高于对照组(x2=5。460,P<0。05);治疗3个月后,观察组BDNF水平、miRNA-132和miRNA-320水平均明显高于对照组(t=-7。2、-25。881、-22。728,P<0。05);GFAP、S100β水平低于对照组(t=8。443、4。154,P<0。05)。结论 银杏叶片联合鲁拉西酮片治疗精神分裂症患者疗效较好,能够有效上调miR132和miR320表达水平,减轻对神经元的损伤,值得临床推广和应用。
Effects of Ginkgo biloba leaves combined with Lurasidone tablets on patients with schizophrenia and their impact on microRNA and nerve damage factors
Objective To explore the effects of Ginkgo biloba leaves combined with Lurasidone tablets on microRNAs and nerve damage factors in patients with schizophrenia. Methods A total of 86 patients with schizophrenia admitted to Wenzhou Seventh People' s Hospital from June 2022 to June 2023 were selected and randomly divided into a control group and an observation group,with 43 patients in each group,using a random number table method. The control group was treated with Lurasidone tablets,while the observation group was treated with Ginkgo biloba leaves in addition to the control group. The clinical efficacy,positive and negative symptom scale (PANSS) scores,microRNA levels,and levels of nerve cytokines (S100 β,brain-derived neurotroph-ic factor (BDNF),glial fibrillary acidic protein (GFAP)) between two groups were observed and compared. Results The PANSS scores of the observation group were lower than those of the control group after 1 month and 3 months of treatment (t=9.552,7.663,P<0.05),and lower than those of the control group after 3 months of treatment (t=12.105,P<0.05). The total clinical effective rate of the observation group was significantly higher than that of the control group (x2=5.460,P<0.05);After 3 months of treatment,the levels of BDNF,miRNA-132,and miRNA-320 in the observation group were significantly higher than those in the control group (t=-7.2,-25.881,-22.728,P<0.05). The levels of GFAP and S100 βwere significantly lower than those in the control group (t=8.443,4.154 P<0.05). Conclusion The combination of Ginkgo biloba leaves and Lurasidone tablets has a good therapeutic effect on patients with schizophrenia,effectively upregulating the expression levels of miR132 and miR320,reducing neuronal damage,and is worthy of clinical promotion and application.

Ginkgo foliumLurasidone hydrochlorideSchizophreniaNerve damage factor

范凯丽、陈杰、王锡武、万雅洁

展开 >

温州市第七人民医院老年精神科,浙江温州 325000

温州市第七人民医院精神科,浙江温州 325000

温州市第七人民医院普通精神科,浙江温州 325000

银杏叶 盐酸鲁拉西酮 精神分裂症 神经损伤因子

2024

中国药物与临床
中国医院协会

中国药物与临床

影响因子:0.846
ISSN:1671-2560
年,卷(期):2024.24(24)