摘要
目的:探讨碳酸锂联用丙戊酸钠治疗急性躁狂发作的疗效与安全性。方法:56例急性躁狂发作患者随机分成两组,分别给予碳酸锂合并丙戊酸钠(合用组)与单用碳酸锂(单用组)治疗6周。采用Beck-Rafaelsen躁狂量表(BRMS)评定疗效,治疗中出现的症状量表(TESS)及实验室检查评价安全性。结果:治疗结束时两组BRMS评分均显著降低,以合用组疗效显著较好而快。结论:碳酸锂联用丙戊酸钠治疗急性躁狂发作疗效优于单用碳酸锂,且起效快、安全性好。
Objective:To explore the efficacy and side effects of lithium carbonate with sodium valproate in the treatment of acute manic episode. Method: Fifty - six patients with acute manic episode were randomly assigned into two groups, lithium carbonate combined with sodium valproate and lithium carbonate alone for 6 weeks. Efficacy and side efiects were assessed with Bech-Rafaelsen mania rating scale (BRMS) and treatment emergant symptom scale (TESS) before treatment and 'after treatment for 1,2,4,6 weeks. Results:As compared with the baseline scores, BRMS scores decreased significantly in beth groups after 6 weeks' treatment, and the scores decreased more markedly in conrbined group (lithium carbonate and sodium valproate) than in alone group(lithium carbonate). Conclusion: The lithium carbonate combined with sodium valpreate to treat acute manic episode has better efficacy and fewer adverse events, and taking effect more quickly.
出处
《临床精神医学杂志》
2008年第1期51-52,共2页
Journal of Clinical Psychiatry
关键词
躁狂发作
碳酸锂
丙戊酸钠
manic episode
lithium carbonate
sodium valpreate