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时间:2017-12-08
《阿立哌唑对首发精神分裂症患者执行功能障碍的影响》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、四川精神卫生2013年第26卷第4期283阿立哌唑对首发精神分裂症患者执行功能障碍的影响许凌峰张恒张娟周莉莉【摘要】目的探讨阿立哌唑对首发精神分裂症患者执行功能的影响。方法入组43例首发精神分裂症患者为研究组,使用阿立哌唑(15—30mg/d)治疗,观察6周。采用阳性和阴性症状量表(PANSS)评定疗效,用威斯康星卡片分类测验(WCST)评定认知功能。与35例健康对照组进行比较分析。结果①治疗前,研究组随机错误数、持续错误数高于对照组,正确应答数和完成分类数低于对照组,差异具有统计学意义(t=6.75、3.93、一2.84、一7.70,P<0.05)。②治疗后研究组随机错误数高于对照
2、组,完成分类数低于对照组,差异具有统计学意义(t=3.91、一7.27,P<0.05)。③研究组治疗前后比较,治疗后PANSS总分和随机错误数低于治疗前,而完成分类数和正确应答数高于治疗后,差异具有统计学意义(t=13.61、2.91、一2.26、一2.07,P<0.05)。结论阿立哌唑可能有利于改善精神分裂症患者的执行功能。【关键词】精神分裂症阿立哌唑执行功能【中图分类号】R749.053【文献标识码】Adoi:10.3969/j.issn.1007-3256.2013.04.008Theresearchaboutinfluenceofaripiprazoleonexecutive
3、functionoffirst——episodeschizophreniaXULing—l厂e,,ZHANGHen,ZHANGJuan,ZHOULi—liWuximentafhealthcenter.Wuxi214151.ina【Abstract】ObjectiveToassesstheinfluenceofaripiprazoleonexecutivefunctionoffirst—episodeschizophreniapatients.MethodsThefirst—episodeschizophreniapatientsweretreatedwitharipiprazole(
4、15—30mg/d)for6weeksandenrolledinre—searchgroup.TheclinicaleficacywereevaluatedbyusingthePositiveandNegativeSyndromeScale(PANSS).ExecutivefunctionweretestedwithWisconsinCardTest(WCST).35healthpersonswereenrolledasnormalcontrolgroupforcomparison.Results①Beforetreatment,intheresearchgrouprandomerr
5、orsandperseverativeerorsofWCSTwerehigherthancontrolgroup(t=6.75,3.93,P<0.05).However,correctresponsesandcategoriescontrollingintheresearchgroupweresignificantlylowerthancontrolgroup(t=一2.84,一7.70,P<0.05).②Aftertreatment,randomerrorsinresearchgroupweresignificantlyhigherthancontrolgroup(t=3.91,P
6、<0.05).Categoriescontrolinresearchgroupweresignificantlylowerthanthatincontrolgroup(t=一7.27,P<0.05).⑧Aftertreatment,researchgroupPANSSscoresandrandomero~decreasedsignificantly(t=13.61,2.91,P<0.05).Categoriescontrolandcorrectresponsesweresignificantlyhigheraftertreatment(t=一2.26,一2.07,P‘0.05).Th
7、erewerenosignificantchangeinpreservativeerrors(t:1.262,P:0.214)aftertreatment.ConclusionUsingaripi—prazoleinthetreatmentofschizophreniacansignificantlyimproveexecutivedysfunctionandtheirqualityoflife.Italsomaybegoodforpatientsrein
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