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抗精神病药物使用与嗜酸性粒细胞计数升高的关联。

Association of antipsychotic use with raised eosinophil count.

作者信息

Tsamakis Konstantinos, Mueller Christoph, Hortis Ioannis, Kallergi Maria, Tolos Ioannis, Alevyzakis Evangelos, Siafakas Nikolaos, Ouranidis Andreas, Tsiptsios Dimitrios, Kympouropoulos Stylianos, Spandidos Demetrios A, Smyrnis Nikolaos, Rizos Emmanouil

机构信息

Second Department of Psychiatry, University General Hospital 'Attikon', National and Kapodistrian University of Athens, Athens 12462, Greece.

Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 8AF, UK.

出版信息

Exp Ther Med. 2021 May;21(5):513. doi: 10.3892/etm.2021.9944. Epub 2021 Mar 19.

Abstract

The current study aimed to assess the possibility of an association between first and second generation antipsychotic medication and raised eosinophil count. A total of 22 in-patients at the psychiatric unit of the University General Hospital 'Attikon', a tertiary hospital, were included in the present study. Patients had received antipsychotic monotherapy and did not have any co-morbidities or require additional treatments. Patients were monitored weekly and their eosinophil count was assessed. One-way ANOVA and summary measures analysis were applied to study the effect of time and medication type on the absolute eosinophil concentration (or relative percentage) for each patient. The differences in mean eosinophil concentrations or relative percentage by patient and time were also assessed. An increase in the absolute concentration and the relative percentage of eosinophils over time was observed in patients receiving Olanzapine, Haloperidol and Aripiprazole. However, there was no difference between individual medications. In conclusion, antipsychotics may be associated with increased eosinophil count over time; however, larger studies involving more patients and a longer follow-up are required to reach a definitive conclusion.

摘要

本研究旨在评估第一代和第二代抗精神病药物与嗜酸性粒细胞计数升高之间存在关联的可能性。本研究纳入了一家三级医院——雅典大学总医院精神科的22名住院患者。患者接受了抗精神病药物单一疗法,且没有任何合并症或需要额外治疗。每周对患者进行监测,并评估他们的嗜酸性粒细胞计数。采用单因素方差分析和汇总测量分析来研究时间和药物类型对每位患者绝对嗜酸性粒细胞浓度(或相对百分比)的影响。还评估了患者和时间在平均嗜酸性粒细胞浓度或相对百分比方面的差异。在接受奥氮平、氟哌啶醇和阿立哌唑治疗的患者中,观察到嗜酸性粒细胞的绝对浓度和相对百分比随时间增加。然而,各药物之间没有差异。总之,随着时间的推移,抗精神病药物可能与嗜酸性粒细胞计数增加有关;然而,需要开展涉及更多患者且随访时间更长的更大规模研究才能得出明确结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02a6/8005733/10f329f57f69/etm-21-05-09944-g00.jpg

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