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使用氨磺必利或奥氮平治疗的精神分裂症门诊患者的疗效。

Outcomes in schizophrenia outpatients treated with amisulpride or olanzapine.

作者信息

Hofer A, Rettenbacher M A, Edlinger M, Huber R, Bodner T, Kemmler G, Sachs G, Fleischhacker W W

机构信息

Department of Biological Psychiatry, Innsbruck Medical University, Austria.

出版信息

Pharmacopsychiatry. 2007 Jan;40(1):1-8. doi: 10.1055/s-2007-958520.

Abstract

INTRODUCTION

We compared stable patients with schizophrenia who were treated with either amisulpride or olanzapine in terms of symptomatic outcome, neurocognitive functioning, functionality, and subjective outcome.

METHODS

Sixty outpatients with chronic schizophrenia who had been treated with either amisulpride or olanzapine for at least six months were investigated.

RESULTS

The scores of positive, negative, and cognitive symptoms did not differ between the two groups, but patients treated with olanzapine had significantly lower scores on the excitement and depression/anxiety components of the PANSS. With regard to cognitive variables, patients treated with amisulpride showed significantly lower values regarding verbal fluency and significantly better verbal memory than patients treated with olanzapine. Both treatment groups were comparable with respect to functional and subjective outcome variables.

DISCUSSION

These observations add to the evidence that continuous treatment with different second-generation antipsychotics with relatively few side effects leads to comparable outcomes in patients with schizophrenia.

摘要

引言

我们比较了使用氨磺必利或奥氮平治疗的稳定型精神分裂症患者在症状转归、神经认知功能、功能状态和主观转归方面的情况。

方法

对60例使用氨磺必利或奥氮平治疗至少6个月的慢性精神分裂症门诊患者进行了调查。

结果

两组患者的阳性、阴性和认知症状评分无差异,但使用奥氮平治疗的患者在阳性和阴性症状量表(PANSS)的兴奋和抑郁/焦虑分量表上得分显著更低。在认知变量方面,使用氨磺必利治疗的患者在言语流畅性方面得分显著更低,而在言语记忆方面比使用奥氮平治疗的患者显著更好。两个治疗组在功能和主观转归变量方面具有可比性。

讨论

这些观察结果进一步证明,使用副作用相对较少的不同第二代抗精神病药物进行持续治疗,在精神分裂症患者中可产生相似的疗效。

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