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齐拉西酮联合生物反馈治疗精神分裂症患者的效果及对蛋白标志物的影响

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目的:探究齐拉西酮联合生物反馈治疗精神分裂症患者的效果及对蛋白标志物的影响.方法:选择2020年9月—2023年6月上饶市第三人民医院收治的80例精神分裂症患者,根据随机数字表法分为对照组和观察组,各40例.对照组采用齐拉西酮治疗,观察组采用齐拉西酮联合生物反馈治疗.比较两组的治疗总有效率、治疗副反应量表(TESS)评分及治疗前后阳性与阴性症状量表(PANSS)评分、蛋白标志物[S100钙结合蛋白B(S100B)、磷酸化tau蛋白(p-tau)]及生存质量[精神分裂症患者生活质量量表(SQLS)].结果:观察组治疗总有效率显著高于对照组(P<0.05).治疗1、2、4、8周后,观察组TESS评分均显著低于对照组(P<0.05).治疗8周后,两组PANSS评分、蛋白标志物及SQLS评分均显著低于治疗前,且观察组均显著低于对照组(P<0.05).结论:齐拉西酮联合生物反馈在精神分裂症患者中的应用效果较好,安全性较高,且可显著改善患者的蛋白标志物及生存质量.
Effect of Ziprasidone Combined with Biofeedback in the Treatment of Patients with Schizophrenia and Its Influence on Protein Markers
Objective:To explore the effect of Ziprasidone combined with biofeedback on patients with schizophrenia and its influence on protein markers.Method:A total of 80 patients with schizophrenia admitted to Third People's Hospital of Shangrao from September 2020 to June 2023 were selected and divided into control group and observation group according to random number table method,with 40 cases in each group.The control group was treated with Ziprasidone,and the observation group was treated with Ziprasidone combined with biofeedback.The total treatment response rate,treatment emergent symptom scale (TESS) score,positive and negative symptom scale (PANSS) score,protein markers[S100 calc-binding protein B (S100B) and phosphorylated tau protein (p-tau)]and quality of life[schizophrenia quality of life scale (SQLS)]before and after treatment were compared between the two groups.Result:The total effective rate of observation group was significantly higher than that of control group (P<0.05).After 1,2,4 and 8 weeks of treatment,TESS scores in the observation group were significantly lower than those in the control group (P<0.05).After 8 weeks of treatment,PANSS scores,protein markers and SQLS scores in two groups were significantly lower than those before treatment,and those in observation group were significantly lower than those in control group (P<0.05).Conclusion:The application of Ziprasidone combined with biofeedback in patients with schizophrenia has good effect,high safety,and can significantly improve the protein markers and quality of life of patients.

ZiprasidoneBiofeedbackSchizophreniaProtein markers

肖依烂、张华成、江鹏辉

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上饶市第三人民医院临床心理睡眠科 江西 上饶 334000

上饶市第三人民医院精神科 江西 上饶 334000

齐拉西酮 生物反馈 精神分裂症 蛋白标志物

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(32)