首页|丁螺环酮对精神分裂症患者认知功能影响的meta分析

丁螺环酮对精神分裂症患者认知功能影响的meta分析

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目的 运用meta分析法评价丁螺环酮对精神分裂症患者认知功能的影响。方法 利用计算机对中国知网、万方、维普、PubMed等数据库检索采集丁螺环酮治疗精神分裂症的随机对照试验(RCTs),时间截至为2024年1月,按照既定纳入和排除标准逐一筛选,对符合的RCTs进行方法学质量评价,运用RevMan 5。3软件进行数据分析。结果 共纳入9个RCTs,累计患者895例。meta分析结果显示,丁螺环酮辅助治疗精神分裂症的疗效明显优于对照组,差异有统计学意义[OR=6。07,95%CI(3。53,10。45),Z=6。52,P<0。000 01];治疗组认知功能评分高于对照组,差异有统计学意义[MD=3。22,95%CI(2。75,3。69),Z=13。49,P<0。000 01];两组不良反应发生率比较,差异无统计学意义[OR=1。12,95%CI(0。66,1。91),Z=0。42,P=0。67]。结论 丁螺环酮辅助治疗精神分裂症可有效缓解临床症状,提高认知功能。
Meta analysis of the effect of buspirone on cognitive function in patients with schizophrenia
Objective To evaluate the effect of buspirone on cognitive function in patients with schizophrenia using meta-analysis.Methods China CNKI,Wanfang,VIP and Pubmed databases were searched by computer,and randomized controlled trials(RCTs)of buspirone in the treatment of schizophrenia were collected.The time was up to January 2024,and the eligible RCTs were screened one by one according to the established inclusion and exclusion criteria,and the methodological quality was evaluated.The data were analyzed by RevMan 5.3 software.Results A total of 9 RCTs were included,with a cumulative total of 895 patients.The meta-analysis results showed that the efficacy of buspirone as an adjuvant therapy for schizophrenia was significantly better than that of the control group,and the difference was statistically significant(OR=6.07,95%CI[3.53,10.45],Z=6.52,P<0.000 01).The cognitive function score of the treatment group was higher than that of the control group,and the difference was statistically significant(MD=3.22,95%CI[2.75,3.69],Z=13.49,P<0.000 01).There was no statistically significant difference in the incidence of adverse effect between the two groups(OR=1.12,95%CI[0.66,1.91],Z=0.42,P=0.67).Conclusion Adjuvant treatment with buspirone can effectively alleviate clinical symptoms and improve cognitive function in schizophrenia.

SchizophreniaBuspironeClinical effectCognitive function

梁妤静、阳瑞林、杜启峰、陈锋

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中山市第三人民医院慢性精神障碍科,广东中山 528400

精神分裂症 丁螺环酮 临床疗效 认知功能

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(21)