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阿立哌唑与利培酮治疗精神分裂症疗效比较 被引量:32

Aripiprazole and Risperidone in the Treatment of Schizophrenia
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摘要 目的比较阿立哌唑与利培酮治疗精神分裂症的疗效。方法将我院2012年10月-2013年6月收治的40例精神分裂症患者按随机数字表法随机分为阿立哌唑组和利培酮组各20例,分别使用阿立哌唑和利培酮对两组患者进行治疗,将两组治疗效果按照CCMD-3精神分裂症的诊断标准进行评价,依据副反应量表(TESS)评定副反应,以阳性与阴性症状量表(PANSS)减分率对疗效进行评定。结果阿立哌唑组痊愈9例,7例显著好转,3例好转,1例无效;利培酮组痊愈10例,5例显著好转,3例好转,2例无效。两组间的疗效比较无显著性差异。阿立哌唑组5例出现不良反应,占25%;利培酮组出现不良反应的有12例,占60%,阿立哌唑组不良反应总发生率显著低于利培酮组(χ2=5.013,P<0.05)。结论阿立哌唑与利培酮治疗精神分裂症的疗效显著,在治疗过程中,两种药物各有千秋,但在不良反应发生率方面,阿立哌唑低于利培酮,阿立哌唑的安全性高于利培酮。 Objective To analyze and compare aripiprazole and risperidone in the treatment of schizophrenia treatment .Methods 40 cases of patients with schizophrenia in hospital from October 2012 to June 2013 were randomly divided into aripiprazole group and the risperidone group,respectively,the two groups of patients were evaluated according to CCMD -3 diagnostic criteria,TESS and PANSS. Results In aripiprazole group ,9 cases recure ,7 cases were significantly improved ,3 cases improved ,and one case was invalid .In risper-idone group,10 cases cured,5 cases were significantly improved,3 cases improved,2 cases were ineffective.There was no significant difference in the efficacy between the two groups (P〉0.05).Aripiprazole group had 5 cases of adverse reactions (25%),risperidone group had 12 cases of adverse reactions (60%),incidence of adverse reactions in aripiprazole group was significantly lower than that in the risperidone group(P〈0.05).Conclusion The efficacy of aripiprazole and risperidone in the treatment of schizophrenia is good ,the two drugs is different ,incidence of adverse reactions of aripiprazole is less than that of risperidone ,Aripiprazole is safer than risperidone .
作者 赵辉
出处 《中国健康心理学杂志》 2014年第8期1160-1162,共3页 China Journal of Health Psychology
关键词 阿立哌唑 利培酮 精神分裂症 精神病学 Aripiprazole Risperidone Schizophrenia Psychiatry
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