摘要
目的 观察精神分裂症采用奥氮平联合阿立哌唑治疗的具体疗效。方法 选取我院精神分裂症患者进行研究,选取病例数61例,选取时间段2022年3月-2023年3月,根据数字排序分组,单数31例为对照组,双数30例为观察组,分别采用奥氮平治疗、奥氮平联合阿立哌唑治疗,对两组精神状态、生活质量进行评估比较,统计用药不良反应。结果 与对照组相较,观察组精神状态评分更优,生活质量评分更高,差异均有统计学意义(P<0.05),两组不良反应发生率无统计学意义(P>0.05)。结论 精神分裂症采用奥氮平联合阿立哌唑治疗临床疗效较佳,可改善患者精神状态,提高生活质量,不增加不良反应,用药安全性高。
关键词: 奥氮平;阿立哌唑;治疗;精神分裂症
Abstract
Objective To observe the specific efficacy of olanzapine combined with aripiprazole in the treatment of schizophrenia. Methods A total of 61 patients with schizophrenia in our hospital were selected for the study. The time period was from March 2022 to March 2023, and the patients were divided into two groups according to numerical sorting: the control group (n=31) and the observation group (n=30). The two groups were treated with olanzapine and olanzapine combined with aripiprazole, respectively. The mental status and quality of life of the two groups were evaluated and compared, and adverse drug reactions were statistically analyzed. Results Compared with the control group, the observation group had better mental state scores and higher quality of life scores, with statistically significant differences (P<0.05). There was no statistically significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion The clinical efficacy of olanzapine combined with aripiprazole in the treatment of schizophrenia is better, which can improve the patient's mental state, enhance their quality of life, without increasing adverse reactions, and has high medication safety.
Key words: Olanzapine; Aripiprazole; Treatment; Schizophrenia
参考文献 References
[1] 徐萌,郭斌. 奥氮平联合阿立哌唑在双相情感障碍中的应用效果及对患者生活质量的影响 [J]. 临床研究, 2024, 32 (10): 83-86.
[2] 张丽,孙梦梦,李程程. 探讨小剂量阿立哌唑联合奥氮平对精神分裂症患者临床疗效及认知功能的影响 [J]. 中国现代药物应用, 2024, 18 (16): 118-121.
[3] 赖伊杰. 中国精神疾病外科治疗专家共识 [J]. 中国神经精神疾病杂志, 2024, 50 (07): 385-402.
[4] 高瑜,陈图农,徐成,等. 美国《精神障碍诊断与统计手册》第5版人格特质的稳定性和变化性研究 [J]. 临床精神医学杂志, 2021, 31 (01): 42-46.
[5] 郑东翠,阚博,朱柏,等. 阿立哌唑联合奥氮平对精神分裂症患者糖脂代谢及内分泌功能影响的研究 [J]. 临床和实验医学杂志, 2024, 23 (07): 702-705.
[6] 姜炜,王振华,凌云翔. 小剂量阿立哌唑联合奥氮平治疗精神分裂症的临床效果及对血清泌乳素的影响 [J]. 中国药物与临床, 2023, 23 (03): 155-159.
[7] 谢和秀,滕巍. 阿立哌唑与奥氮平联合治疗农村精神分裂症的临床疗效及其对认知功能的影响 [J]. 临床合理用药, 2023, 16 (09): 64-67.
[8] 许亚琼. 阿立哌唑治疗奥氮平引起女性精神分裂症代谢综合征的临床效果 [J]. 临床合理用药, 2023, 16 (08): 15-18.
[9] 刘舜华,袁小凤,叶雪婷,等. 阿立哌唑联合奥氮平治疗住院男性精神分裂症患者的效果及对代谢综合征的影响 [J]. 四川精神卫生, 2024, 37 (03): 226-231.