摘要
目的:比较氯丙嗪、舒必利、氯氮平、利培酮、奥氮平、喹硫平、阿立哌唑等7种抗精神病药物长期服用对精神分裂症患者生活质量的影响。方法:对1 227例病程小于5年服用7种药物之一作为维持治疗的精神分裂症患者进行为期1年的随访,在基线、随访12个月进行健康状况调查问卷(SF-36)评定。结果:与基线相比,7组药物1年末生活质量都有很大的提高。不同药物对躯体疼痛、精力和精神健康因子的改善存在显著差异(P<0.05),以奥氮平和喹硫平对生活质量的改善最为明显。结论:长期服用抗精神病药物能不断提高精神分裂症患者的生活质量。非典型抗精神病药物,尤其是奥氮平和喹硫平,对生活质量的改善要优于传统抗精神病药物。
Objective To compare the effect of 7 antipsychotic drugs on the life quality of schizophrenia patients including chlorpromazine, sulpiride, clozapine, risperidone, olanzapine, quetiapine, and aripiprazole. Methods A total of 1 227 stable schizophrenic patients within 5 years onset who took 1 of the 7 study medications as maintenance treatment were followed up for 1 year at 10 China sites. Patients were evaluated by the short form-36 health survey (SF-36) at the baseline and at the end of 1 year. Results The life quality was improved obviously at the end of the follow-up. There was significant difference in body pain, vitality, and mental health ( P 〈 0.05 ) among these antipsychotic drugs. Conclusion All 7 antipsychotic drugs can improve the life quality of schizophrenia patients. Atypical antipsychotic drugs, especially olazapine and quetiapine, are superior to typical antipsychotic drugs in improving life quality.
出处
《中南大学学报(医学版)》
CAS
CSCD
北大核心
2009年第9期850-855,共6页
Journal of Central South University :Medical Science
基金
"十五"国家科技攻关计划项目(2004BA720A22)~~