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舍曲林联合阿立哌唑治疗精神分裂症患者的疗效

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目的 观察舍曲林联合阿立哌唑治疗精神分裂症患者的疗效。方法 以随机表数字法将本院2022年2月—2023年5月确诊的138例精神分裂症患者分为参照组(n=69)和实验组(n=69)。其中,参照组治疗方案中的药物选择阿立哌唑,实验组治疗方案中的药物选择舍曲林和阿立哌唑联合治疗,观察两组患者治疗效果、用药不良反应,同时对其血清同型半胱氨酸(Hcy)水平及疾病症状在治疗前后的变化进行比较。结果 实验组治疗总有效率对比参照组明显更高(P<0。05)。两组用药不良反应对比,差异无统计学意义(P>0。05)。治疗前,两组Hcy水平及疾病症状的PANSS评分,差异均无统计学意义(P>0。05);治疗后,实验组Hcy水平对比参照组明显更低(P<0。05)。疾病症状的PANSS评分比参照组明显更低(P<0。05)。结论 在精神分裂症患者药物治疗中,以舍曲林和阿立哌唑作为其联合用药方案不仅更有助于优化治疗效果,而且联合用药也不会导致患者不良反应明显上升,具有较高的用药安全性,可以进一步降低患者血清同型半胱氨酸水平,减轻患者疾病症状。
Curative Effect of Sertraline Combined with Aripiprazole in Treatment of Schizophrenia Patients
Objective To observe the effect of sertraline combined with aripiprazole in treatment of patients with schizophrenia. Methods The paper chose 138 patients with schizophrenia diagnosed in our hospital from February 2022 to May 2023,and divided them into the reference group (n=69) and the experimental group (n=69) with random table number method. Aripiprazole was chosen in treatment scheme of the reference group,while sertraline and aripiprazole was chosen in treatment scheme of the experimental group. Curative effect and adverse drug reactions were observed between two groups,changes in serum homocysteine (Hcy) levels and disease symptoms were compared before and after treatment. Results Total effective rate of the experimental group was significantly higher than the reference group (P<0.05),and there was no statistically significant difference in adverse drug reactions compared with the reference group (P>0.05). Difference in Hcy levels and PANSS scores of disease symptoms between two groups before treatment was not statistically significant (P>0.05). After treatment,the Hcy level in the experimental group was significantly lower than the reference group (P<0.05),and the PANSS scores of disease symptoms were significantly lower than the reference group (P<0.05). Conclusion During drug treatment of schizophrenia patients,combination therapy of sertraline and aripiprazole can not only optimize treatment effect,but cause no significant increase of the adverse reactions,with high drug safety,which can further reduce the serum homocysteine level and alleviate disease symptoms of of patients.

SertralineAripiprazoleSchizophreniaAdverse reactionsSerum homocysteineDisease symptoms

蒋红光

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泰州市姜堰区益民精神病医院,江苏 泰州 225300

舍曲林 阿立哌唑 精神分裂症 不良反应 血清同型半胱氨酸 疾病症状

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(27)