四川精神卫生2024，Vol.37Issue(5)：403-408,6.DOI:10.11886/scjsws20240220002
增液承气汤加减联合奥氮平治疗阳明腑实型精神分裂症的效果
Efficacy of Zengye Chengqi decoction combined with olanzapine in the treatment of schizophrenia of Yangming Fushi syndrome
摘要
Abstract
Background Patients with schizophrenia of Yangming Fushi syndrome experience more severe symptoms,and a substantial proportion of patients derive inadequate benefit from antipsychotics and suffer from serious adverse effects,yet few studies have been conducted on the treatment of schizophrenia of Yangming Fushi syndrome with Zengye Chengqi decoction.Objective To explore the efficacy of Zengye Chengqi decoction combined with olanzapine in the treatment of schizophrenia of Yangming Fushi syndrome,in order to provide references for the treatment of schizophrenia with the combination of traditional Chinese and western medicine.Methods A total of 60 patients attending the Second Affiliated Hospital of Xinxiang Medical College from January 2022 to August 2023 and fulfilling the International Classification of Diseases(ICD-10)diagnostic criteria for schizophrenia were enrolled,and assigned into study group(n=30)and control group(n=30)using random number table methods.All patients were treated with olanzapine,and study group was given Zengye Chengqi decoction on this basis.Treatment for both groups lasted for 4 weeks.All participants were assessed using Positive and Negative Syndrome Scale(PANSS),Montreal Cognitive Assessment(MoCA)and Event-Related Potential P300 at baseline and end of treatment.The occurrence of adverse reactions was recorded at the end of treatment.Results Study group reported a higher treatment effective rate compared with control group(χ2=9.320,P=0.002).After treatment,study group detected a significant reduction in PANSS subscales and total scores(F=10.287,8.258,8.844,20.079,P<0.01),and a notable increase in scores of delayed recall and orientation domains from MoCA(F=4.463,22.255,P<0.05 or 0.01)when compared with control group,with statistical difference.For the P3 component of event-related potential,study group produced significantly larger amplitudes than control group(F=4.247,P<0.05).The incidence rate of abnormal liver function,constipation and increased body mass index(BMI)in study group was lower than those in control group(χ2=4.320,4.463,7.200,P<0.05 or 0.01).Conclusion Zengye Chengqi decoction combined with olanzapine are found to be effective in improving the psychotic symptoms and cognitive function and alleviating the adverse reactions of patients with schizophrenia of Yangming Fushi syndrome.关键词
增液承气汤加减/奥氮平/精神分裂症/阳明腑实型/事件相关电位P300Key words
Zengye Chengqi decoction/Olanzapine/Schizophrenia/Yangming Fushi syndrome/Event-related potential P300分类
临床医学引用本文复制引用
王维丽,邓丽,王虹郁,杨世昌,崔桂梅..增液承气汤加减联合奥氮平治疗阳明腑实型精神分裂症的效果[J].四川精神卫生,2024,37(5):403-408,6.基金项目
新乡医学院第二附属医院精神神经开放课题项目(项目名称:增液承气汤加减治疗精神分裂症阳明腑实型临床评价及其作用机制的网络药理学研究,项目编号:XYEFYJSSJ-2023-09) Funded by Open Project of Psychiatry and Neuroscience Discipline of Second Affiliated Hospital of Xinxiang Medical College(number,XYEFYJSSJ-2023-09) （项目名称:增液承气汤加减治疗精神分裂症阳明腑实型临床评价及其作用机制的网络药理学研究,项目编号:XYEFYJSSJ-2023-09）
