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阿立哌唑与氯丙嗪对精神分裂症患者认知功能的影响
引用本文:奈效祯,史丽,宋春联,赵绍锋.阿立哌唑与氯丙嗪对精神分裂症患者认知功能的影响[J].中国实用神经疾病杂志,2009,12(5).
作者姓名:奈效祯  史丽  宋春联  赵绍锋
作者单位:郑州市第八人民医院精神科,郑州,450006
摘    要:目的 探讨阿立哌唑和氯丙嗪对首发精神分裂症患者认知功能的影响.方法 将56例首发精神分裂症患者随机分为阿立哌唑组(n=30)、氯丙嗪组(n=26),分别给予阿立哌唑和氯丙嗪治疗,疗程6周.在治疗前及治疗6周末进行阳性与阴性量表(PANSS)评分、威斯康星卡片分类测验(WCST)﹑连线测验(A和B)﹑韦氏成人智力量表(WAIS)中的数字符号和数字广度(顺﹑逆)测验等神经心理测验.结果 2组治疗6周后PANSS评分均有明显下降,差异无统计学意义.阿立哌唑组各项认知功能指标均有不同程度的改善,而氯丙嗪组只有两项(WCST中持续反应数和数字广度测验)较治疗前显著好转.阿立哌唑组除WCST中持续反应数、完成分类数和数字广度测验外,其余各指标均显著优于氯丙嗪组.结论 阿立哌唑对首发精神分裂症患者认知功能的改善明显,显著优于氯丙嗪.

关 键 词:阿立哌唑  氯丙嗪  首发精神分裂症  认知功能

Aripiprazole and chlorpromazine on cognitive function in schizophrenia
Nai Xiaozhen,Shi Li,Song Chunlian,et al..Aripiprazole and chlorpromazine on cognitive function in schizophrenia[J].Chinese Journal of Practical Neruous Diseases,2009,12(5).
Authors:Nai Xiaozhen  Shi Li  Song Chunlian  
Institution:Nai Xiaozhen,Shi Li,Song Chunlian,et al.The Eighth Hospital of Zhengzhou,Zhengzhou 450006,China
Abstract:Objective To study the effects of aripiprazole and chlorpromazine on cognitive function in first-episode patients with schizophrenia.Methods Fifty-six first-episode patients with schizophrenia were randomly divided into aripiprazole group(n=30) and chlorpromazine group(n=26) for 6 weeks.The positive and negative syndrome scale(PANSS) were evaluated before and after 6 weeks' treatment for both group.All patients were tested with neuropsychological tests,including Wisconsion card sorting test(WCST),trail maki...
Keywords:Aripiprazole  Chlorpromazine  First-episode schizophrenia  Cognition function  
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