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利培酮联合丁螺环酮治疗精神分裂症的临床效果

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目的:探讨利培酮联合丁螺环酮治疗精神分裂症(SCH)的临床效果。方法:选取 2022 年 1 月—2023 年 2 月黔东南苗族侗族自治州精神病医院收治的60例SCH患者作为研究对象,按随机数表法将患者分为对照组与观察组,各30例。对照组给予利培酮治疗,观察组在对照组基础上给予丁螺环酮治疗,两组均持续治疗 2 个月。比较两组临床疗效、阳性与阴性症状量表(PANSS)评分、认知功能、血清学指标、生活质量及不良反应。结果:观察组总有效率高于对照组,治疗后PANSS评分、中枢神经特异蛋白(S100β)及肿瘤坏死因子-α(TNF-α)低于对照组,简易精神量表(MMSE)评分、脑源性神经营养因子(BDNF)、生活质量评分高于对照组,差异有统计学意义(P<0。05);两组不良反应发生率比较,差异无统计学意义(P>0。05)。结论:利培酮联合丁螺环酮可提高SCH的治疗效果,加快疾病症状消失,减轻认知损害,改善患者生活质量,安全可靠。
Clinical Effect of Risperidone Combined with Buspirone in the Treatment of Schizophrenia
Objective:To explore the clinical effect of Risperidone combined with Buspirone in the treatment of schizophrenia(SCH).Method:A total of 60 patients with SCH who admitted to Psychiatric Hospital of Qiandongnan Miao and Dong Autonomous Prefecture from January 2022 to February 2023 were selected as the research objects,the patients were divided into the control group and the observation group according to the random number table method,with 30 cases in each group.The control group was given Risperidone,while the observation group was given Buspirone on the basis of the control group,two groups were treated for 2 months.The clinical efficacy,positive and negative symptom scale(PANSS)score,cognitive function,serological indicators,quality of life and adverse reactions were compared between two groups.Result:The total effective rate of the observation group was higher than that of the control group,after treatment,the PANSS scores,central nervous specific protein(S100β)and tumor necrosis factor-α(TNF-α)were lower than those of the control group,the mini-mental state examination(MMSE)score,brain-derived neurotrophic factor(BDNF)and quality of life score were higher than those of the control group,and the differences were statistically significant(P<0.05);there was no significant difference in the incidence of adverse reactions between two groups(P>0.05).Conclusion:Risperidone combined with Buspirone can improve the therapeutic effect of SCH,accelerate the disappearance of disease symptoms,reduce cognitive impairment,improve the quality of life of patients,and is safe and reliable.

SchizophreniaRisperidoneBuspironeCognitive functionAdverse reaction

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黔东南苗族侗族自治州精神病医院 贵州 凯里 556000

精神分裂症 利培酮 丁螺环酮 认知功能 不良反应

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(35)