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抗精神病药治疗与体质量和血脂等的关系 被引量:9

Relationship among antipsychotic therapy and body weight and blood lipid etc
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摘要 目的:探讨引起住院精神分裂症患者体质量增加的相关因素。方法:首发住院精神分裂症患者72例分别于治疗前和治疗6周末测定体质量、血清瘦素、胰岛素、胰岛素抗体、糖化血红蛋白(HbA1C)、空腹血糖、血清胆固醇(T-CHO)及三酰甘油(TG)。结果:服抗精神病药后体质量有显著性增高(t=7.865,P=0.000)。体质量变化与服药种类(γ=-0.400,P<0.01)等有关。结论:影响住院精神分裂症患者体质量变化最主要的3个因素为:服用精神药物种类、初始三酰甘油及瘦素变化量。 Objective:To investigate the related factors contributing to weight gain of inpatients with schizophrenia. Method:72 inpatients with first-episode schizophrenia were recruited, examining body weight, serum leptin, insulin, insulin antibody, glycosylated hemoglobin (HbAtc ), fasting plasma glucose, total cholesterol (T-CHO) and triglyceride (TG) before treatment and after 6 weeks of treatment respectively. Results: Compared with that before treatment, the body weight of post-treatment was significantly increased (t = 7. 865, P = 0.000). The body mass gain was correlated with the kinds of antipsychotic drugs (y = - 0. 400, P 〈 0.01 ), etc. Conclusion: The major factors that influence the inpatients' weight gain were the kinds of antipsychotic drugs, TG of prior to treatment and the change of leptin level.
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出处 《临床精神医学杂志》 2008年第1期21-22,共2页 Journal of Clinical Psychiatry
关键词 抗精神病药 体质量 精神分裂症 瘦素 胰岛素 antipsychotic drug body weight schizophrenia leptin insulin
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