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[接受第二代抗精神病药物治疗患者的药物不良反应与生活质量:长效注射剂与口服疗法的比较]

[Adverse Effects of Medication and Quality of Life in Patients Receiving Second Generation Antipsychotics: A Comparison of Long Acting Injectable and Oral Therapies].

作者信息

Sağlam Aykut Demet, Civil Arslan Filiz, Tiryaki Ahmet, Özkorumak Evrim, Karakullukçu Serdar

出版信息

Turk Psikiyatri Derg. 2017 Spring;28(1):11-16.

Abstract

OBJECTIVE

Maintenance treatment with antipsychotic drugs for patients with schizophrenia is highly effective in decreasing the recurrence rate of the disease. In the current study, we aimed to compare long-acting second generation antipsychotic drug injections and oral forms of second generation antipsychotic drugs in terms of their adverse effects on quality of life.

METHOD

Forty-one patients receiving second generation antipsychotic drugs and 139 patients diagnosed with schizophrenia or schizoaffective disorder were treated with oral second generation antipsychotic drugs and enrolled in the study. All patients were evaluated with Positive and Negative Symptoms Scale (PANNS), extrapyramidal symptom rating scale (ESRS) and UKU, and Quality of Life Enjoyment and Satisfaction questionnaire (Q-LES-Q).

RESULTS

The impact of adverse effects of oral second generation antipsychotic drugs on the daily performance of patients with schizophrenia or schizoaffective disorder was found to be significantly higher than that of the long acting injection antipsychotic drugs. The quality of life of patients receiving long acting second generation antipsychotic drug injection was significantly higher when compared with that of the patients treated with oral second generation antipsychotic drugs.

CONCLUSION

The results of this study showed that the long-acting second generation antipsychotic injection treatment was superior to second generation oral forms of antipsychotic drugs in terms of adverse effects and measures of quality of life. Further studies with specific design and the supplementation of larger samples are needed.

摘要

目的

使用抗精神病药物对精神分裂症患者进行维持治疗在降低疾病复发率方面非常有效。在本研究中,我们旨在比较长效第二代抗精神病药物注射剂和口服第二代抗精神病药物对生活质量的不良影响。

方法

41名正在接受第二代抗精神病药物治疗的患者以及139名被诊断为精神分裂症或分裂情感性障碍的患者接受口服第二代抗精神病药物治疗并纳入研究。所有患者均使用阳性和阴性症状量表(PANNS)、锥体外系症状评定量表(ESRS)和UKU以及生活质量享受与满意度问卷(Q-LES-Q)进行评估。

结果

发现口服第二代抗精神病药物的不良反应对精神分裂症或分裂情感性障碍患者日常表现的影响显著高于长效注射用抗精神病药物。与接受口服第二代抗精神病药物治疗的患者相比,接受长效第二代抗精神病药物注射治疗的患者生活质量显著更高。

结论

本研究结果表明,在不良反应和生活质量指标方面,长效第二代抗精神病药物注射治疗优于第二代口服抗精神病药物。需要进行具有特定设计的进一步研究并补充更大样本。

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