改良芍药甘草汤联合低剂量阿立哌唑对氨磺必利所致高催乳素血症患者内分泌功能的影响
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R969.4

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Effect of Modified Shaoyao Gancao Tang Combined with Low- Dose Aripiprazole on Endocrine Function in Patients with Hyperprolactinemia Caused by Amisulpiride
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    摘要:

    目的:观察改良芍药甘草汤联合低剂量阿立哌唑对氨磺必利所致高催乳素血症患者内分泌功能的影响。方法:选取232 例氨磺必利所致高催乳素血症患者,按随机数字表法分为治疗组及对照组各116 例。对照组给予低剂量阿立哌唑进行治疗,治疗组在对照组基础上给予改良芍药甘草汤治疗,2 组均连续治疗8 周。比较2 组治疗前后雌二醇(E2)、促卵泡激素(FSH)、睾酮(T)、催乳素(PRL)、皮质醇、促肾上腺皮质激素(ACTH) 水平的变化,比较2 组治疗前后阳性与阴性症状量表(PANSS)、副反应量表(TESS)、威斯康星卡片分类测验(WCST) 评分的变化,比较2 组临床疗效及不良反应发生率。结果:治疗后,2 组E2、FSH、T 激素水平均较治疗前上升,治疗组上述3 项激素水平均高于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组PRL、皮质醇、ACTH 水平均较治疗前下降,差异均有统计学意义(P<0.05);治疗后,治疗组PRL、皮质醇、ACTH 水平均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组PANSS 评分、TESS 评分均较治疗前下降,治疗组上述2 项评分均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组WCST 评分中正确应答数、完成分类数的评分均较治疗前升高,错误应答数、持续性错误、随机错误的评分均较治疗前下降,差异均有统计学意义(P<0.05);治疗后,治疗组正确应答数、完成分类数的评分均高于对照组,错误应答数、持续性错误、随机错误的评分均低于对照组,差异均有统计学意义(P<0.05)。治疗组临床疗效总有效率为96.55%,对照组为89.66%,2 组比较,差异有统计学意义(P<0.05)。对照组不良反应发生率为5.17%,治疗组为3.45%,2 组比较,差异无统计学意义(P>0.05)。结论:改良芍药甘草汤联合低剂量阿立哌唑治疗氨磺必利所致高催乳素血症的疗效较好,可有效改善内分泌功能和激素水平,改善患者的精神状态,增强其认知功能。

    Abstract:

    Abstract:Objective:To observe the effect of modified Shaoyao Gancao tang combined with low- dose aripiprazole on endocrine function in patients with hyperprolactinemia caused by amisulpiride. Methods:A total of 232 cases of patients with hyperprolactinemia caused by amisulpiride were divided into the treatment group and the control group according to the random number table method,with 116 cases in each group. The control group was treated with low-dose aripiprazole,and the treatment group was additionally treated with modified Shaoyao Gancao tang based on the treatment of the control group. Both groups were treated for eight weeks. The changes in the levels of estrogen(E2), follicle stimulating hormone(FSH), testosterone(T),prolactin(PRL),cortisol and adrenocorticotropic hormone(ACTH),and the scores of Positive and Negative Syndrome Scale(PANSS), Treatment Emergent Symptom Scale(TESS) and Wisconsin Card Sorting Test(WCST) before and after treatment in the two groups were compared. The clinical effects and the incidence of adverse reactions in the two groups were compared. Results:After treatment,the levels of hormones including E2,FSH and T in the two groups were increased when compared with those before treatment,and the levels of E2,FSH and T in the treatment group were higher than those in the control group,differences being significant(P<0.05). After treatment,the levels of PRL,cortisol and ACTH in the two groups were decreased when compared with those before treatment, differences being significant(P<0.05); the PRL, cortisol and ACTH level in the treatment group were lower than that in the control group,differences being significant(P< 0.05). After treatment,the scores of PANSS and TESS in the two groups were decreased when compared with those before treatment,and the above two scores in the treatment group were lower than those in the control group,differences being significant(P<0.05). After treatment,the scores of correct answers and completed classification in WCST in the two groups were increased when compared with those before treatment, and the scores of wrong answers, persistent errors and random errors were decreased, differences being significant(P<0.05); the scores of correct answers and completed classification in the treatment group were higher than those in the control group, and the scores of wrong answers, persistent errors and random errors were lower, differences being significant(P<0.05). The total effective rate of clinical effect was 96.55% in the treatment group and 89.66% in the control group, the difference being significant(P<0.05). The incidence of adverse reactions was 5.17% in the control group, higher than that of 3.45% in the treatment group, there being no significance in the difference(P>0.05). Conclusion: Modified Shaoyao Gancao tang combined with low- dose aripiprazole on endocrine function has a good curative effect in treating patients with hyperprolactinemia caused by amisulpiride,and can effectively improve endocrine function,hormone levels and mental state,and enhance their cognitive function.

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吴清锋,潘亚慧,江爱玉,沈丽丽,李亚玲.改良芍药甘草汤联合低剂量阿立哌唑对氨磺必利所致高催乳素血症患者内分泌功能的影响[J].新中医,2022,54(9):117-122

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  • 在线发布日期: 2022-05-09
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