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吡格列酮联合刺梨对住院精神分裂症患者抗精神病药物所致代谢综合征的治疗作用

Therapeutic effects of chiglitazar combined with Rosa roxburghii Tratt. in inpatients with antipsychotic-induced metabolic syndrome.

作者信息

Jin Hui, Zhang Jing Yi, Cai Zi Yao, Xu Shun Yao, Lin Xiao Dong, En Ye Jia, Zheng Yan Shan, Zheng Jin Xuan

机构信息

Department of Psychiatry, Wenzhou Seventh People's Hospital, Wenzhou, China.

Department of Endocrinology, Wenzhou Seventh People's Hospital, Wenzhou, China.

出版信息

Pak J Pharm Sci. 2024 Nov-Dec;37(6):1343-1349.

Abstract

The objective of this study was to evaluate the therapeutic effects of Chiglitazar combined with Rosa roxburghii Tratt (RRT) in inpatients diagnosed with psychiatric disorders and antipsychotic-induced metabolic syndrome (MetS).100 cases were included and divided into the Siglitazar group (n=50) and the Siglitazar + RRT group (n=50) Anthropometric measurements, lipid and glucose metabolism indicators, inflammatory markers and PANSS scores were assessed at baseline, 8 weeks and 12 weeks post-treatment. Both treatment groups exhibited significant reductions in waist circumference and improvements in lipid profiles and glucose metabolism indicators over the 12-week study period. The siglitazar + RRT group performed better in improving the lipid profile, with significant decreases in triglyceride (TG) and total cholesterol (TC) levels. Furthermore, levels of inflammatory markers (CRP, IL-6, TNF-α) decreased significantly in both groups, with consistently lower levels observed in the Chiglitazar + RRT group at 8 weeks and 12 weeks. Importantly, the Chiglitazar + RRT group exhibited a significantly lower PANSS score at 12 weeks compared to baseline, indicating improved psychiatric symptoms. Chiglitazar combined with RRT effectively improves metabolic parameters, reduces inflammation and ameliorates psychiatric symptoms in inpatients with antipsychotic-induced MetS.

摘要

本研究的目的是评估吡格列酮联合刺梨在诊断为精神障碍和抗精神病药物所致代谢综合征(MetS)的住院患者中的治疗效果。纳入100例患者,分为吡格列酮组(n = 50)和吡格列酮+刺梨组(n = 50)。在基线、治疗后8周和12周评估人体测量指标、脂质和葡萄糖代谢指标、炎症标志物和阳性与阴性症状量表(PANSS)评分。在为期12周的研究期间,两个治疗组的腰围均显著减小,脂质谱和葡萄糖代谢指标均有所改善。吡格列酮+刺梨组在改善脂质谱方面表现更好,甘油三酯(TG)和总胆固醇(TC)水平显著降低。此外,两组炎症标志物(CRP、IL-6、TNF-α)水平均显著降低,在8周和12周时,吡格列酮+刺梨组的水平始终较低。重要的是,与基线相比,吡格列酮+刺梨组在12周时的PANSS评分显著降低,表明精神症状有所改善。吡格列酮联合刺梨可有效改善抗精神病药物所致MetS住院患者的代谢参数,减轻炎症并改善精神症状。

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