Yang Ping, Li Liang, Yang Dong, Wang Chaoying, Peng Hongli, Huang Huiyong, Liu Xuejun
Department of Psychiatry, Brains Hospital of Hunan Province, Changsha, China.
Provincial Key Laboratory of TCM Diagnostics, Hunan University of Chinese Medicine, Changsha, China.
Evid Based Complement Alternat Med. 2017;2017:7901670. doi: 10.1155/2017/7901670. Epub 2017 Nov 26.
The aim of this study is to observe the effect of Peony-Glycyrrhiza Decoction (PGD) on hyperprolactinemia in women with schizophrenia induced by Amisulpride.
A total of 41 female schizophrenia patients receiving Amisulpride were randomly divided into placebo ( = 20) and PGD groups ( = 21). Maintaining the original Amisulpride dose, the two groups were given placebo and PGD, respectively. The levels of Prolactin (PRL) and other hormones were measured on the initial day and at weeks 4 and 8 after treatment. Changes of clinical symptoms in patients with hyperprolactinemia were observed. The PANSS scores were recorded to assess the psychotic symptoms.
Compared with placebo group, level of PRL decreased while Progesterone increased remarkably in the PGD group at weeks 4 and 8 ( < 0.01), and level of Estradiol in the PGD group increased significantly at week 8 ( < 0.05). There were no differences in PANSS scores and biochemical indexes between two groups at weeks 4 and 8.
PGD can improve symptoms of hyperprolactinemia and hormone levels in women with schizophrenia caused by Amisulpride, without affecting their mental symptoms and biochemical indexes.
本研究旨在观察芍药甘草汤(PGD)对氨磺必利所致精神分裂症女性高催乳素血症的影响。
将41例接受氨磺必利治疗的女性精神分裂症患者随机分为安慰剂组( = 20)和PGD组( = 21)。在维持原氨磺必利剂量的基础上,两组分别给予安慰剂和PGD。于治疗首日及治疗后第4周和第8周测定催乳素(PRL)及其他激素水平。观察高催乳素血症患者临床症状的变化。记录阳性和阴性症状量表(PANSS)评分以评估精神症状。
与安慰剂组相比,PGD组在第4周和第8周时PRL水平降低,孕酮显著升高( < 0.01),且PGD组在第8周时雌二醇水平显著升高( < 0.05)。两组在第4周和第8周时的PANSS评分及生化指标均无差异。
PGD可改善氨磺必利所致精神分裂症女性的高催乳素血症症状及激素水平,且不影响其精神症状和生化指标。