|
|
Comparison of effect of Aripiprazole,Olanzapine and Risperidone in the treatment of children and adolescents with schizophrenia |
DUAN Xia-xia1,2 HE Rui-feng2* ZHANG Yan4 YANG Jin-yu3 LIU Li-na1 GUO Xuan1▲ |
1.Clinical Laboratory,the First Affiliated Hospital of Xi′an Jiaotong University,Shaanxi Province,Xi′an 710061,China;
2.Clinical Laboratory,the Mental Health Center of Xi′an City,Shaanxi Province,Xi′an 710100,China;
3.Pharmacy Laboratory,the Mental Health Center of Xi′an City,Shaanxi Province,Xi′an 710100,China;
4.Clinical Laboratory,Xidian Group Hospital,Shaanxi Province,Xi′an 710077,China |
|
|
Abstract ObjectiveTo compare the efficacy of Aripiprazole,Olanzapine and Risperidone in the treatment of children and adolescents with schizophrenia.Methods86 patients with schizophrenia in the Department of Child and Adolescent Psychology in Xi′an Mental Health Center from September 2015 to July 2017 were selected as the research objects,the patients were randomly divided into the Aripiprazole group(29 cases),the Olanzapine group(29 cases)and the Risperidone group (28 cases),Aripiprazole,Olanzapine and Risperidone were given respectively.The efficacy and safety of each drug were evaluated by positive and negative symptoms scale(PANSS)and the test and error support system(TESS)before treatment and after 6 weeks treatment,and serum prolactin (PRL)levels were detected at the same time.ResultsThe PANSS scores of the three groups were significantly lower after the treatment,and the differences were statistically significant(P<0.01).There was no significant change in PRL level after treatment in patients in the Aripiprazole group,and the difference was not statistically significant(P>0.05).The PRL levels of the Olanzapine group and the Risperidone group were significantly higher after treatment,and the differences were statistically significant(P<0.01).There was no statistically significant difference in rhe TESS score between the three groups (P>0.05).ConclusionThree drugs show similar efficacy in the treatment of schizophrenia in children and adolescents,but Olanzapine and Risperidone treatment can significantly increase serum PRL levels.
|
|
|
|
|
[1] |
李多聪,陈海峰.帕利哌酮缓释片和奥氮平片治疗儿童青少年精神分裂症的效果和安全性比较[J].中国当代医药,2017,24(24):75-77.
|
[2] |
Masi G,liboni F.Management of schizophrenia in children and adolescents[J].Drugs,2011,71(2):179-208.
|
[3] |
Boyda HN,Ramos-Miguel A,Procyshyn RM,et al.Routine exercise ameliorates the metabolic side-effects of treatment with the atypical antipsychotic drug olanzapine in rats[J].Int J Neuropsychopharmacol,2014,17(1):77-90.
|
[4] |
Hegedüs C,Kovács D,Kiss R,et al.Effect of long-term olanzapine treatment on meal-induced insulin sensitization and on gastrointestinal peptides in female Sprague-Dawley rats[J].J Psychopharmacol,2015,29(12):1271-1279.
|
[5] |
赵志刚,张星龙,张石革,等.当代神经精神科用药选择[M].北京:人民卫生出版社,2003:32.
|
[6] |
陈东,马翠卿.阿立哌唑治疗抗精神病药物所致高催乳素血症的研究进展[J].中国健康心理学杂志,2015,23(9):1422-1425.
|
[7] |
王厚亮,赵靖平,韩洪赢,等.五种常用二代抗精神病药物对首发精神分裂症患者泌乳素的近期影响[J].中国神经精神疾病杂志,2015,41(7):389-394.
|
[8] |
汪正华,阚博,周恒.阿立哌唑对抗精神病药物所致高泌乳素血症的影响[J].皖南医学院院报,2017,36(2):143-145.
|
[9] |
李捷,庞润慧,刘晓.精神分裂症患者家属生活质量及影响因素分析[J].中国实用医药,2017,12(1):189-191.
|
[10] |
史高岩,李仁军,刘金同,等.儿童青少年首发精神分裂症患者认知损害特点研究[J].精神医学杂志,2016,29(6):429-433.
|
[11] |
Aimenteros JL,Davies M.Antipsychotics in early onset schizophrenia systematic review and meta analysis[J].Eur Child Adolesc Psychiatry,2006,15(3):141-148.
|
[12] |
李雪荣.现代儿童精神医学[M].长沙:湖南科学技术出版社,1994:274.
|
[13] |
陆再英,钟南山.内科学[M].7版.北京:人民卫生出版社,2010:692.
|
[14] |
Seeman MV.Psychopathyology in women and men focus on female hormones[J].Am J Psychiatry,1997,154(12):1641-1647.
|
[15] |
Hwang TJ,Lo WM,Chan HY,et al.Fast versus slow strategy of switching patients with schizophrenia to aripiprazole from other antipsychotics[J].J Clin Psychopharmacol,2015,35(6):635-644.
|
[16] |
De Hert M,Peuskens J,Sabbe T,et al.Relationship between prolactin,breast cancer risk,and antipsychotics in patients with schizophrenia:a critical review[J].Acta Psychiatr Scand,2016,133(1):5-22.
|
[17] |
Huber T,Tettenbom C,Leifke E,et al.Sex hormones in psychotic men[J].Psychoneuroendocrinology,2005,30(1):111-114.
|
[19] |
刘克锋,田鑫,薛文华,等.奥氮平对儿童精神分裂症患者糖脂代谢、肝功能及泌乳素的影响[J].重庆医学,2017,46(9):1193-1195.
|
[20] |
徐开营,张慧芳,沈利,等.非典型抗精神病药物对女性精神分裂症患者泌乳素水平的影响[J].中国实用神经疾病杂志,2014,17(8):68-69.
|
[18] |
Newman-Tancredi A,Kleven MS.Comparative pharmacology of antipsychotics possessing combined dopamine D2and serotonin 5-HT1areceptor properties[J].Psychopharmacology (Berl),2011,216(4):451-473.
|
|
|
|