“天癸一号方”对女性精神分裂症患者服药依从性的 影响
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衡水市科技局资助项目(201410Z)


Effects of "Tiangui No.1" on the treatment compliance in female patients with schizophrenia
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    摘要:

    目的 探讨“天癸一号方”对女性精神分裂症患者服用利培酮治疗依从性的影响。方 法 选取2017 年1 月—2018 年2 月就诊于衡水市精神病医院门诊女性精神分裂症患者100 例,采用随 机排列表法分成研究组和对照组,研究组51 例,对照组49 例,对照组应用利培酮常规治疗,研究组在对 照组基础上联合服用“天癸一号方”中药治疗。治疗以14 d为一疗程,患者需要接受连续4 个疗程的治 疗。在治疗第8 周、第6 个月进行随访,通过观察疾病严重程度、药物不良反应(泌乳素、体重、恶心、腹 胀、皮疹等)、总体生活质量、药物治疗满意度,评估患者的治疗依从性。结果 研究组治疗后泌乳素水 平、体重均低于对照组,差异有统计学意义(P< 0.05);两组的疾病严重程度、次要药物不良反应(恶心、 腹胀、皮疹)相比,差异无统计学意义(P> 0.05);研究组治疗后总体生活质量、药物治疗满意度、治疗依 从性均高于对照组治疗后,差异有统计学意义(P < 0.05)。结论 “天癸一号方”能够显著降低抗精神 病药物导致的泌乳素水平升高,改善月经紊乱,减轻体重增加的程度,改善生活质量,增加药物治疗满 意度,从而提高患者的治疗依从性。

    Abstract:

    Objective To investigate the effects of“ Tiangui No. 1” on the compliance of female schizophrenic patients treated with risperidone. Methods A total of 100 female patients treated in the outpatient department of Hengshui Psychiatric Hospital were recruited during January 2017 to February 2018. All the research subjects were randomly assigned into research group( n=51) and control group( n=49). Patients in the research group were treated with "Tiangui No. 1" combined with risperdone, while the patients in the control group were prescribed with risperidone alone for four sessions with 14 days a session. The severity of disease, adverse drug reactions( Prolactin, weight, nausea, abdominal distension, rash, etc.), overall quality of life, treatment satisfaction and medication compliance were evaluated at 8th week and 6th month. Results Prolctin and weight of the research group after intervention were lower than those of the control group, and the difference was statistically significant( P< 0.05). There was no significant difference between the two groups in the severity of disease, adverse drug reactions( nausea, abdominal distension and rash)( P> 0.05). The overall quality of life, treatment satisfaction and medication compliance of the research group were higher than those of the control group after treatment, and the differences were statistically significant( P < 0.05). Conclusions "Tiangui No. 1" can significantly reduce prolactin levels caused by antipsychotic drugs, improve menstrual disorders, reduce weight gain, improve quality of life, increase drug treatment satisfaction, thereby improving patients' treatment compliance.

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张士巧 赵幸福 乔云栓 崔卫东 金圭星.“天癸一号方”对女性精神分裂症患者服药依从性的 影响[J].神经疾病与精神卫生,2018,18(12):
DOI :10.3969/j. issn.1009-6574.2018.12.009.

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  • 在线发布日期: 2019-03-20