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阿立哌唑与氯丙嗪治疗精神分裂症的安全性系统评价

Systematic review the safety of aripiprazole versus clorpromazine in the treatment of schizophrenia

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【作者】 杜彪李庆平母波刘福周春阳

【Author】 DU Biao 1.2a,LI Qing-ping1.2b, MU Bo2a,LIU Fu2c, ZHOU Chun-yang2c (1.Chongqing Three Gorges Central Hospital,Chongqing 404000,China;2.North Sichuan Medical College,a.School of Basic Medical Sciences;b.School of Clinical Medicine;c.School of Pharmacy,Nanchong 637000,Sichuan Province,China)

【机构】 重庆三峡中心医院川北医学院基础医学院川北医学院临床医学院川北医学院药学院

【摘要】 目的评价阿立哌唑与氯丙嗪治疗精神分裂症的不良反应的差异。方法检索国内阿立哌唑与氯丙嗪对照研究治疗精神分裂症的文献,用系统评价方法对10篇文献评估。结果药物不良反应发生率2组差异有统计学意义(P<0.05)。其中,发生头痛、失眠,阿立哌唑组明显比氯丙嗪组多(P<0.05);发生口干、震颤、静坐不能、肌强直、便秘、肝功能异常、心动过速、体重增加、直立性低血压、视物模糊、嗜睡、心电图异常、月经失调、溢乳不良反应,氯丙嗪组明显比阿立哌唑组多(P<0.05)。结论阿立哌唑组发生不良反应的总体风险低于氯丙嗪。

【Abstract】 Objective To study the difference in adverse drug reaction(ADR) between aripiprazole and clorpromazine in the treatment of schizophrenia.Methods A total of 10 paper about control study comparing aripiprazole with clorpromazine in treatment of schizophrenia retrieved were subjected to system evaluation.Results There was significant difference in ADR incidences between the two groups(P<0.05).The incidences of ADR(such as headache insomnia) in aripiprazole group were significantly higher than in clorpromazine group(P<0.05).The incidences of ADR(such as dry mouth,tremor,akathisia,rigidity,constipation,abnormal,liver function,tachycardia,weight gain,orthostatic hypotension,blurred vision,drowsiness,menstruation disturbance syndrome) in clorpromazine group were significantly higher than in aripiprazole group(P<0.05).Conclusion Aripiprazole has less overall risk of ADR than clorpromazine for the treatment of schizophrenia.

【关键词】 阿立哌唑氯丙嗪精神分裂症安全性
【Key words】 aripiprazoleclorpromazineschizophreniasafety
【基金】 重庆市万州区科学技术基金资助项目(20084011)
  • 【文献出处】 中国临床药理学杂志 ,The Chinese Journal of Clinical Pharmacology , 编辑部邮箱 ,2012年09期
  • 【分类号】R749.3
  • 【被引频次】18
  • 【下载频次】282
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