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降糖药联合行为干预治疗非典型抗精神病药所致代谢综合征的研究
引用本文:朱颖,王莹,王彬.降糖药联合行为干预治疗非典型抗精神病药所致代谢综合征的研究[J].山东精神医学,2009,22(3):195-197.
作者姓名:朱颖  王莹  王彬
作者单位:朱颖,王彬,ZHU Ying,WANG Bin(天津市安宁医院,300300);王莹,WANG Ying(天津市安定医院)  
摘    要:目的 验证降糖药二甲双胍与行为干预联合治疗非典型抗精神病药所致代谢综合征的疗效.方法 将抗精神病药所致体质量增加≥10%的128例精神分裂症患者随机分为四组:二甲双胍(750 mg/d)联合行为干预组(以下简称A组,32例);二甲双胍(750 mg/d)组(以下简称B组,32例);行为干预联合安慰剂组(以下简称C组,32例);安慰剂对照组(以下简称D组,32例);治疗观察期均为12周.结果 A、B、C组患者治疗后的体质量、BMI、空腹血糖、空腹胰岛素及IRI均明显低于治疗前(P(0.05);D组患者的体质量、BMI、腰围、空腹胰岛素、IRI治疗后均明显高于治疗前(P<0.05).结论 二甲双胍与行为干预单一或联合治疗均能有效减轻非典型抗精神病药所致的代谢综合征,二甲双胍联合行为干预的疗效最好.

关 键 词:非典型抗精神病药  二甲双胍  行为干预  代谢综合征

Efficacy of behavioral intervention therapy and metformin in the treatment of atypical antipsychotics-induced metabolic syndrome
ZHU Ying,WANG Ying,WANG Bin.Efficacy of behavioral intervention therapy and metformin in the treatment of atypical antipsychotics-induced metabolic syndrome[J].Shangdong Archives of Psychiatry,2009,22(3):195-197.
Authors:ZHU Ying  WANG Ying  WANG Bin
Institution:ZHU Ying,WANG Ying,WANG Bin.Anning hospital,Tianjin 300300,China
Abstract:Objective To test the efficacy of behavioral intervention(BI) and metformin for treating atypical antipsychotics-induced metabolic syndrome.Methods One hundred and twenty eight schizophrenic patients who had weight gain more than 10% of their pretreatment body weight were randomly divided into four groups for the treatment of 12 weeks. They were BI plus metformin group(750 mg/d),metformin group(750 mg/d),BI plus placebo group and placebo group.Results After treatment,the weight,BMI,waist circumference,insul...
Keywords:Atypical antipsychotics Metformin Behavioral intervention Metabolic syndrome  
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