解郁安神胶囊联合利培酮治疗肝气郁结型精神分裂症临床研究
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R277.7

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浙江省医药卫生科技计划项目(2022ZH609)


Clinical Study on Jieyu Anshen Capsules Combined with Risperidone for Schizophrenia of Binding Constraint of Liver Qi Type
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    摘要:

    目的:观察解郁安神胶囊联合利培酮治疗肝气郁结型精神分裂症的临床疗效。方法:选择2019年 1月—202年12月于衢州市第三医院治疗的90例肝郁气滞型精神分裂症患者作为研究对象,依据随机数字表 法分为对照组、观察组各45例。2组均给予心理治疗。对照组应用利培酮口腔崩解片治疗,观察组应用解郁安 神胶囊与利培酮口腔崩解片联合治疗。2组均治疗8周。治疗前后评定中医证候评分、精神分裂症阳性症状和 阴性症状量表(PANSS) 评分、计算机认知功能评估系统(ACCT) 评分,检测血糖指标[空腹血糖(FBG)、 2 h空腹胰岛素(FINS)]、血脂指标[总胆固醇(TC)、甘油三酯(TG)],观察治疗第1周内不良反应的 发生情况。比较2组的临床疗效。结果:治疗8周后,观察组总有效率高于对照组(P<0.05)。2组中医证候 积分均较治疗前降低(P<0.05)。观察组中医证候积分低于对照组(P<0.05)。2组PANSS评分均较治疗前下 降,ACCT评分均较治疗前升高,差异均有统计学意义(P<0.05)。观察组PANSS评分低于对照组,ACCT评 分高于对照组,差异均有统计学意义(P<0.05)。对照组FBG、2h FINS、TC、TG水平均较治疗前升高(P< 0.05);观察组4项指标水平与治疗前比较,差异均无统计学意义(P>0.05)。观察组FBG、2h FINS、TC、TG 水平均低于对照组(P<0.05)。治疗第1周内,观察组不良反应发生率低于对照组(P<0.05)。结论:将解郁 安神胶囊与利培酮联合应用于肝气郁结型精神分裂症患者,能提高临床疗效,有效改善症状,促进患者的认知 功能恢复,且能稳定血糖、血脂水平,用药安全性较好。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Jieyu Anshen Capsules combined with Risperidone on schizophrenia of binding constraint of liver qi type. Methods: A total of 90 cases of patients with schizophrenia of binding constraint of liver qi type treated at the Third Hospital of Quzhou from January 2019 to December 202 were selected and divided into the control group and the observation group according to the random number table method, with 45 cases in each group. Both groups were given psychotherapy. The control group was treated with Risperidone Orally Disintegrating Tablets, and the observation group was treated with Jieyu Anshen Capsules combined with Risperidone Orally Disintegrating Tablets. Both groups were treated for eight weeks. Traditional Chinese medicine (TCM) syndrome scores, Positive and Negative Syndrome Scale (PANSS) scores, and Automated Computerized Cognitive Test (ACCT) scores were evaluated before and after treatment; the indexes of blood glucose[fasting blood glucose (FBG),Two-hour fasting insulin (FINS)] and blood lipids [ total cholesterol (TC),triglycerides (TG)] were measured; the incidence of adverse reactions within the first week of treatment was observed. Clinical effects were compared between the two groups. Results:After eight weeks of treatment,the total effective rate in the observation group was higher than that in the control group (P<0.05). TCM syndrome scores in the two groups were reduced when compared with those before treatment (P<0.05),with the observation group scoring lower than the control group (P< 0.05). PANSS scores in the two groups were decreased when compared with those before treatment,and ACCT scores were increased when compared with those before treatment, differences being significant (P<0.05). The observation group had lower PANSS score and higher ACCT score compared to the control group,differences being significant (P< 0.05). The levels of FBG,two-hour FINS,TC,and TG in the control group were increased when compared with those before treatment (P<0.05); the levels of the above four indexes in the observation group showed no significant difference compared to those before treatment (P>0.05). The observation group had lower levels of FBG, two-hour FINS, TC, and TG compared to those in the control group (P<0.05). Within the first week of treatment, the incidence of adverse reactions in the observation group was lower than that in the control group (P<0.05). Conclusion: The combination of Jieyu Anshen Capsules and Risperidone in the treatment of schizophrenia of binding constraint of liver qi type can enhance the clinical effect,effectively alleviate symptoms,promote cognitive function recovery,and stabilize the levels of blood glucose and blood lipids,with good medication safety.

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李艳双,王国民.解郁安神胶囊联合利培酮治疗肝气郁结型精神分裂症临床研究[J].新中医,2025,57(3):48-52

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  • 在线发布日期: 2025-02-22
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