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氯氮平与利培酮对糖脂代谢影响的研究
引用本文:吴亚芬,王巍. 氯氮平与利培酮对糖脂代谢影响的研究[J]. 中国民康医学, 2011, 23(10): 1201+1247. DOI: 10.3969/j.issn.1672-0369.2011.10.015
作者姓名:吴亚芬  王巍
作者单位:锦州市康宁医院,辽宁锦州,121000
摘    要:
目的:研究氯氮平和利培酮对糖脂代谢的影响。方法:将60例精神分裂症患者分为氯氮平和利培酮两组,治疗观察4周。每组患者于治疗前后测空腹血糖、甘油三酯、胆固醇、空腹胰岛素、空腹C肽,量身高、体重、腰围、臀围,并计算体重指数(BMI)及胰岛素抵抗指数(IR)。结果:治疗后两组患者的胰岛素、C肽、IR均升高,与治疗前的差异有统计学意义(P<0.05);治疗后氯氮平组患者的甘油三酯、胆固醇均明显高于治疗前(P<0.05)。治疗后BMI、胰岛素、C肽、甘油三酯、胆固醇、IR的升高程度氯氮平大于利培酮,差异均有显著性(P<0.05)。结论:氯氮平对糖代谢及脂代谢的影响大于利培酮。

关 键 词:氯氮平  利培酮  糖代谢  脂代谢

The side- effects of Clozapine and Risperidone on the glucose metabolism and lipid metabolism
WU Ya-fen,WANG Wei. The side- effects of Clozapine and Risperidone on the glucose metabolism and lipid metabolism[J]. medical journal of chinese peoples health, 2011, 23(10): 1201+1247. DOI: 10.3969/j.issn.1672-0369.2011.10.015
Authors:WU Ya-fen  WANG Wei
Affiliation:WU Ya-fen,WANG Wei(Jinzhou Kangning Hospital,Jinzhou 121013,China)
Abstract:
Objective:To study the side-effects of Clozapine and Risperidone on the glucose metabolism in schizophrenic patients.Methods:Sixty schizophrenic patients were divided into Clozapine group and Risperdone group.Before and after four-week treatment,some data which include height,body weight,chest(abdomen) circumference,buttock circumference,the fasting blood blucose,the fasting insulin,C-peptide,cholesterol and triglyceride were measured.In addition,the body mass index(BMI) and insulin resistance(IR) were calc...
Keywords:Clozapine  Risperidone  Glucose metabolism  Lipid metabolism  
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