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奥氮平和帕利哌酮对首发精神分裂症患者的糖代谢影响

刘毅 廖世棚 戢秋明 李驰

中国健康心理学杂志Issue(7):964-966,3.
中国健康心理学杂志Issue(7):964-966,3.DOI:10.13342/j.cnki.cjhp2.015.07.002

奥氮平和帕利哌酮对首发精神分裂症患者的糖代谢影响

Effects of Olanzapine and Paliperidone on the Glucose Metabolism in First-episode Schizophrenic Patients

刘毅 1廖世棚 1戢秋明 1李驰1

作者信息

  • 1. 湖北省武汉市武东医院 430084
  • 折叠

摘要

Abstract

Objective:To investigate the effects of olanzapine and paliperidone on the glucose metabo-lism in schizophrenic patients.Methods:Seventy-six first-episode schizophrenic were randomly divid-ed into two groups,which treated with olanzapine and paliperidone respectively.Before and after 4-week treatment,all the patients were given oral glucose tolerance test(OGTT),and the blood glucose values were measured.The fasting serum insulin,C-peptide,cholesterol,triglyceride,and leptin concentration were also measured.The Body Mass Index( BMI) was calculated for each patient.Results:In the OGTT, after 4-week treatment,the blood glucose at the time-points of 1 and 2 hour were higher than the base-line in olanzapine group(t=2.47,4.75;P<0.05),but unchanged in paliperidone group.The rate of im-paired glucose tolerance ( IGT ) was higher in olanzapine group than that in paliperidone group (χ2 =4.542,P<0.05).Conclusion:Olanzapine has stronger effect than paliperidone on the glucose metabo-lism.

关键词

奥氮平/帕利哌酮/精神分裂症/血糖/糖耐量试验

Key words

Olanzapine/Paliperidone/Schizophrenia/Blood sugar/Glucose tolerance test

分类

医药卫生

引用本文复制引用

刘毅,廖世棚,戢秋明,李驰..奥氮平和帕利哌酮对首发精神分裂症患者的糖代谢影响[J].中国健康心理学杂志,2015,(7):964-966,3.

中国健康心理学杂志

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