奎硫平与利培酮治疗精神分裂症对照研究_0.docVIP

奎硫平与利培酮治疗精神分裂症对照研究 【关键词】 奎硫平；利培酮；精神分裂症；不良反应 　　【摘要】 目的 探讨奎硫平 治疗 精神分裂症的效果与不良反应。 方法 将60例精神分裂症患者随机分为奎硫平治疗组和利培酮治疗组，每组各30例，进行临床对比 研究 ，疗程均为8w。于治疗前及治疗第1、2、4、8w末采用阳性与阴性症状量表评价临床疗效、副反应量表评价不良反应。疗效标准：以阳性与阴性症状量表减分率≥75%为痊愈，≥50%为显著性进步；≥25%为好转，25%为无效。 结果 奎硫平治疗有效率为70.0%，利培酮治疗有效率为66.7%，两组比较差异无显著性。奎硫平组锥体外系不良反应明显少于利培酮组，其它不良反应因子两组比较差异均无显著性（P＞0.05）。 结论 奎硫平治疗精神分裂症疗效肯定，不良反应少，依从性好。 　　【关键词】 奎硫平；利培酮；精神分裂症；不良反应 　　Clinical study of quetiapine and risperidone in the treatment of schizophrenia 　　Wang Xiuli,Yang jianzhang, Guo hua 　　（ Zhumadian mental hospital , 463000,Henan,China） 　　【Abstract】 Objective To explore the efficacy and safety of quetiapine in the treatment of schizophrenia. Methods 60 schizophrenics who met the CCMDIII criteria for schizophrenia were randomly assigned to the quetiapine(n=30) and risperidone(n=30) groups for 8 week. Curative effects were assessed with the Positive And Negative Rating Scale(PANSS),and side effects with the Treatment Emergent Symptom Scale(TESS) before treatment and at the ends of 1st ,2nd ,4th and 8th week of treatment. The criteria of curative effects; scorereducing rate of the PANSS ≥75% was recovery, ≥50% significant improvement, ≥25% improvement and 25% ineffectiveness. Results The effective rate of qutiapine was 70.0% and risperidone 66.7%, which showed no significant difference. Extrapyramidal side effects of quetiapine were fewer than those of risperidone, there was no obvious difference in other factors of side effects between the 2 groups(P0.05). Conclusion Quetiapine has better curative effect, fewer side effects and better compliance in the treatment of schizophrenia. 　　【Keywords】 Quetiapine; risperidone; schizophrenia; side effects 　　奎硫平是一种二苯二氮艹[]卓类衍生物，是非典型抗精神病药物。有报道显示，奎硫平对精神分裂症的阳性、阴性症状均有良好疗效，患者服药耐受性与依从性均较好。为进一步探讨奎硫平与利培酮治疗精神分裂症的效果，作者进行了随机开放性对照研究,现将结果报告如下。 　　1 对象与方法 　　1.1 对象 　　选取2003年5月～2004年5月在我院住院的60例精神分裂症患者为研究对象，均符合《 中国 精神障碍分类与诊断标准》第3版（CCMD3）精神分裂症诊断标准，排除其他严重躯体疾病。将入组病例随机分为奎硫平治疗组和利培酮治疗组各30例。奎硫平组男18例，女12例；年龄16～56a，平均28.2±9.8a；病程2mo～