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左旋咪唑涂布剂对精神分裂症患者免疫指标与疗效的关系

A correlation study of immunological parameters and effect in schizophrenia treated with levamisole hydrochloride liniment

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【作者】 王德刚李新胜徐静刘晓华陈胜华陈海支吴江杨玉声

【Author】 Wang Degang,Li Xinsheng,Xu Jing,et al.Department of Psychiatry,Mao Jian Hospital,Dong Feng Automobile Company, Shiyan 442012

【机构】 湖北十堰市东风汽车公司茅箭医院湖北十堰市东风汽车公司茅箭医院 442012442012

【摘要】 目的 :探讨左旋咪唑涂布剂对精神分裂症患者免疫指标与疗效的关系。 方法 :将 10 1例患者随机分成两组 ,均以固定剂量氟哌啶醇治疗 ,研究组辅以左旋咪唑涂布剂治疗 ,对照组予蒸馏水涂抹。治疗前后分别查免疫球蛋白及补体成分 ,用简明精神病评定量表 (BPRS)、阳性症状量表 (SAPS)、阴性症状量表 (SANS)、临床疗效总评量表 (CGI)和副反应量表 (TESS)综合评定。 结果 :治疗后免疫球蛋白G(IgG)下降明显 ,且两组差异显著。各量表的减分率与治疗前IgG呈显著正相关。SANS减分率与治疗前后IgG差值呈显著正相关。 结论 :临床症状改善与IgG水平相关 ,且以阴性症状为主。

【Abstract】 Objective:To evaluate the relationship between the immunological parameters and effect in schizophrenia treated with levamisole hydrochloride liniment. Method:101 inpatients were randomly allocated to two groups.Both were treated with haloperidol in fixed-dose of 0.25 mg/(kg.d) plus either levamisole hydrochloride liniment or distillation.Immunoproteins and complements were measured and the clinical effects were assessed with BPRS,SAPS,SANS and CGI at pre-and post-treatment.TESS was assessed at post-treatment. Results:The number of IgG decreased significantly after treatment.But the rates of reduced score of all rating scales were significantly correlated with the number of IgG at pre-treatment. The rates of reduced score of SANS was significantly correlated with the distance of IgG at pre-and post-treatment. Conclusion:The degree of clinical improvement,mainly in negative symptoms,is related to the level of IgG.

  • 【文献出处】 临床精神医学杂志 ,Journal of Clinical Psychological Medicine , 编辑部邮箱 ,2003年06期
  • 【分类号】R749.3
  • 【被引频次】1
  • 【下载频次】26
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