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奥氮平与阿立哌唑对精神分裂症治疗效果的影响OA

Effect of Olanzapine and Aripiprazole on the Treatment of Schizophrenia

中文摘要英文摘要

目的 探讨精神分裂症患者接受奥氮平与阿立哌唑治疗的临床效果.方法 选取 2021 年 4 月至 2022 年 4 月吉林市精心康复医院收治的精神分裂症患者110 例作为研究对象,采用随机数字表法分为对照组和试验组,各55 例.对照组予以奥氮平治疗,试验组采用阿立哌唑治疗,比较两组的治疗效果.结果 治疗后试验组空腹血糖、总胆固醇、低密度脂蛋白、三酰甘油水平低于对照组(P<0.05);治疗后试验组阴性症状、阳性症状、一般精神病理评分及总分低于对照组(P<0.05);试验组治疗有效率高于对照组,差异有统计学意义(P<0.05);试验组不良反应发生率低于对照组,差异有统计学意义(P<0.05).结论 与奥氮平比较,阿立哌唑可有效改善精神分裂症患者的临床症状,且对糖脂代谢的影响更小,总体疗效更高,不良反应更少.

Objective To explore the clinical effect of olanzapine and aripiprazole in patients with schizophrenia.Methods A total of 110 schizophrenic patients admitted to Jilin City Careful Rehabilitation Hospital from April 2021 to April 2022 were selected as the study objects,and were divided into control group and experimental group by random number table method,with 55 cases in each group.The control group was treated with olanzapine,the experimental group was treated with aripiprazole.The therapeutic effect of the two groups was compared.Results After treatment,the levels of fasting blood glucose,total cholesterol,low-density lipoprotein and triacylglycerol in test groups were lower than those in control group(P<0.05).After treatment,the negative symptoms,positive symptoms,general psychopathological scores and total scores of test group were lower than those of control group(P<0.05).The treatment effective rate of experimental group was higher than that of control group,the difference was statistically significant(P<0.05).The incidence of adverse reactions in experimental groups was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion Compared with olanzapine,aripiprazole can effectively improve the clinical symptoms of schizophrenia patients,and has less impact on glucose and lipid metabolism,with higher overall efficacy and fewer adverse reactions.

王丹

吉林市精心康复医院医务科,吉林吉林 132000

临床医学

精神分裂症阿立哌唑奥氮平临床疗效

SchizophreniaAripiprazoleOlanzapineClinical efficacy

《中国药物经济学》 2024 (001)

44-46,50 / 4

10.12010/j.issn.1673-5846.2024.01.007

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