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氯丙嗪、氯氮平和利培酮对血糖的影响
引用本文:林文嫦. 氯丙嗪、氯氮平和利培酮对血糖的影响[J]. 海南医学院学报, 2007, 13(1): 45-46,49
作者姓名:林文嫦
作者单位:海南省安宁医院,海南海口,571100
摘    要:目的:比较氯丙嗪、氯氮平和利培酮对精神分裂症血糖的影响.方法:对88例首发精神分裂症患者随机分为3组,单用氮丙嗪、氯氮平和利培酮治疗,疗程8周.分别在治疗前及治疗后4、8周末采用Rayto-200c全自动生化分析仪对患者血糖进行对比分析.结果:氯氮平组的精神分裂症患者治疗后血糖较治疗前明显升高(P<0.01),氯丙嗪和利培酮组治疗后血糖无明显变化(P>0.05).结论:氯氮平可引起精神分裂症患者糖代谢的异常,在使用氯氮平对患者进行治疗时应注意监测血糖.

关 键 词:精神分裂症  血糖  氯丙唾  氯氮平  剁培酮
文章编号:1007-1237(2007)01-0045-02
修稿时间:2006-08-31

Effects of antipsychotic chlorderazin,clozapine and risperidone on blood glucose
LING Wen-chang. Effects of antipsychotic chlorderazin,clozapine and risperidone on blood glucose[J]. Journal of Hainan Medical College, 2007, 13(1): 45-46,49
Authors:LING Wen-chang
Affiliation:Anning Hospital of Hainan province, Hainan Haikou 571100, P.R. China
Abstract:Objective:To understand the effects of antipsychotic,chlorderazin,clozapine and risperidone on blood glucose in patients with schizophrenia.Methods: Eighty eight patients first onset with schizophrenia were randomly divided into three groups,each group treated with chlorderazin,clozapine and Risperidone respectively for 8 weeks.The blood glucose,using Rayto-200c automatic biochemistry analyzer,was tested before treatment, at 4 and 8 weeks management.Results:The blood glucose level was higher in group clozapine than other two groups(P<0.01),but no changes in group chlorderazin and Risperidone before and after drug treatment(P>0.05).Conclusion: Clozapine can produce metabolic disorder of blood glucose.We should monitor it when initiate clozapine for patients.
Keywords:Schizophrenia   Blood glucose   Chlorderazin   Clozapine   Risperidone
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