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齐拉西酮与奎硫平对首发精神分裂症患者体质量及糖脂代谢影响的对照研究

The comparative study of ziprasidone and quetiapine’s effects on body weight and glucose and lipid metabolism in first-episode schizophrenic patients

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【作者】 许锦泉唐旭朱宏昌宋锦

【Author】 XU Jin-quan,TANG Xu,ZHU Hong-chang,SONG Jin. ZhanJiang Third People’s Hospital,ZhanJiang 524012,China

【机构】 广东省湛江市第三人民医院

【摘要】 目的:比较齐拉西酮与奎硫平对精神分裂症患者体质量、糖脂代谢的影响。方法:将82例精神分裂症患者随机分为齐拉西酮组与奎硫平组,每组各41例,分别给予齐拉西酮和奎硫平治疗6个月。于治疗前和治疗6个月后分别测体质量、空腹血糖及血脂总胆固醇(CHO)、三酰甘油(TG)、低密度脂蛋白(LDL)及高密度脂蛋白(HDL)进行比较。结果:齐拉西酮组治疗前后各项指标差异无统计学意义(P>0.05),而奎硫平组治疗6个月后体质量、空腹血糖、CHO及TG显著升高(P<0.05或P<0.01)。结论:奎硫平可能对精神分裂症患者体质量、血糖及血脂有较多影响,而齐拉西酮影响较小。

【Abstract】 Objective:To investigate the effects of ziprasidone and quetiapine on body weight and glucose and lipid metabolism in schizophrenic patients. Method:82 patients with schizophrenia were randomly divided into two groups each of which ( n = 41) were treated with either ziprasidone or quetiapine. Body weight,fasting blood-glucose and blood lipid including total cholesterol ( CHO) ,triglycerides ( TG) ,low density lipoprotein ( LDL) and high density lipoprotein ( HDL) were measured before and 6 months after the treatment. Results:The ziprasidone group showed no significant difference on body weight,fasting blood-glucose and blood lipid before and after 6 months treatment ( P > 0. 05) ,while the quetiapine group showed significant increases on body weight,fasting blood-glucose,CHO and TG ( P < 0. 05 or P < 0. 01) . Conclusion:Ziprasidone may not affect body weight,blood glucose and blood lipid,while quetiapine may have more effect on body weight,blood glucose and blood lipid.

  • 【文献出处】 临床精神医学杂志 ,Journal of Clinical Psychiatry , 编辑部邮箱 ,2013年03期
  • 【分类号】R749.3
  • 【被引频次】8
  • 【下载频次】40
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