电刺激嗅球对脑缺血再灌注大鼠内源性神经干细胞增殖、迁移及分化的影响

目的：探讨嗅球电刺激对脑缺血再灌注大鼠脑内神经发生的影响。方法将健康雌性SD大鼠随机分为假手术组、脑缺血再灌注组、电刺激组、假刺激组,其中脑缺血再灌注组、电刺激组,以线栓法建立大鼠右侧大脑中动脉缺血（middle cerebral artery occlusion ,MCAO）/再灌注模型,假手术组仅分离出颈内动脉;电刺激组在右侧嗅球内埋置双极电极,于MCAO再灌注后对嗅球进行电刺激,假刺激组只埋置电极,不进行电刺激;以5－溴脱氧尿嘧啶（Brdu）标记内源性神经干细胞（NSC ）。假手术组于术后48 h、1周,脑缺血再灌注组于缺血再灌注后48 h、1周,电刺激组及假刺激组于刺激后48 h、1周分别行Brdu免疫组化染色,观察各组脑室下区（SVZ）区NSC增殖情况;假手术组、缺血再灌注组、电刺激组、假刺激组4组大鼠在电刺激组行电刺激后腹腔注射Brdu 50 mg/kg ,2次/d ,连续2 d ,4周后处死,分别取脑切片,进行免疫组化和免疫荧光双标染色,观察各组NSC迁移和分化情况。结果缺血再灌注组（37.67±1.97）、假刺激组（36.5±2.35）和电刺激组（43.67±1.63）大鼠48 h后SVZ区Brdu阳性NSC细胞数较假手术组（15.5±1.52）明显增多（F＝57.21,P＜0.05）,缺血再灌注组（41.17±2.94）、假刺激组（41.83±2.14）和电刺激组（47.67±2.34）1周后Brdu阳性细胞数较假手术组（15.5±1.52）增多（F＝73.62,P＜0.01）,电刺激组在各时间点均较其他组Brdu阳性 NSC细胞数增多（P＜0.01）。缺血并注射Brdu 4周后缺血侧皮质区电刺激组Brdu阳性NSC细胞数（57.17±2.4）较缺血再灌注组（46.83±2.48）和假刺激组（45.83±2.14）增多（F＝161.50,P＜0.01）;免疫荧光双标染色示电刺激组Brdu阳性NSC细胞中Brdu/神经元核抗原（Neun ）双阳性细胞比例约为（74.67±3.61）％,Brdu/胶质纤维酸性蛋白（GFAP）双阳性细胞比例约为（38.83±3.36）％,与缺血再灌注组和假刺激组比较差异均无统计学意义（均 P＞0.05）。结论电刺激嗅球可能促进脑缺血大鼠SVZ区NSC增殖,并可能促进新生NSC向缺血皮质区迁移,增加缺血皮质新生神经元数量,但SVZ区新生NSC的分化不受影响。     

TRPC1沉默对脑缺血大鼠神经干细胞迁移的影响

目的探讨瞬时受体电位通道1(TRPC1)沉默对脑缺血大鼠内源性神经干细胞增殖、迁移和分化的影响。方法 SD大鼠分为假手术组、脑缺血组、TRPC1沉默组(脑缺血+TRPC1沉默)和阴性对照组,以脑室内注射siRNA沉默TRPC1,以线栓法制作大鼠大脑中动脉脑缺血(MCAO)模型,脑缺血模型制作成功后,腹腔内注射Brdu标记内源性神经干细胞,分别于48 h、4 w后处死大鼠,行Brdu免疫组化染色、免疫荧光双标染色(Brdu/GFAP、Brdu/Neun)观察NSC的增殖、迁移和分化情况。结果脑缺血后48 h,脑缺血组和TRPC1沉默组SVZ区Brdu阳性表达均较假手术组明显增多(P0.01),但TRPC1沉默组Brdu阳性细胞数较缺血组低(P0.01)。脑缺血4 w后,缺血组与假手术组相比,皮质区具有更多的Brdu阳性细胞(P0.01),同样TRPC1沉默组Brdu阳性细胞数多于假手术组,但明显低于脑缺血组(P0.01);免疫荧光双标染色发现,脑缺血各组Brdu/GFAP、Brdu/Neun双阳性细胞的数量均比假手术组明显增高,但TRPC沉默组双阳性细胞显著少于脑缺血组和阴性对照组(P0.01)。结论 TRPC1沉默显著影响脑缺血大鼠SVZ区NSC的增殖、向脑缺血区迁移及向成熟细胞的分化。     

电刺激嗅球对脑室下区神经干细胞增殖、迁移和分化的影响

目的 探讨电刺激嗅球对脑室下区(SVZ)神经干细胞(NSC)增殖、迁移及其分化的影响.方法 取SD大鼠48只,随机分为正常对照组、假刺激组、电刺激1 d、3 d、7 d、14 d、21 d、28 d组,以5-溴脱氧尿嘧啶(BrdU)标记NSC,免疫组化法检测SVZ区NSC的增殖情况.另取大鼠18只,随机分为正常对照组、假刺激组和电刺激组,以免疫组化法观察NSC向嗅球迁移情况,荧光双标法检测NSC分化情况.结果 电刺激1 d,SVZ区BrdU阳性细胞开始增高,第7天达高峰,第3周达对照组水平.注射BrdU28 d后,电刺激组喙侧迁移流(RMS)及嗅球内的BrdU阳性细胞数较正常对照组明显增多,但两组NSC分化情况没有明显差别.结论 电刺激嗅球可促进SVZ区NSC增殖及迁移,但对其分化没有影响.

Abstract：

Objective To investigate the effects of electrical stimulation of olfactory bulb( OB) on the proliferation, migration and differentiation of neural stem cell ( NSC ) in subventricular zone. Method Forty - eight adult female Sprague - Dawley(SD) rats were randomly divided into control group, sham stimulation group and stimulation group including 6 time points(1 day,3 day,7 day, 14 day,21 day, 28 day). The rats were injected intraperitoneally with bromodeoxyuridine( BrdU) to detect the proliferation of NSC by immunohistochemistry staining. Another 18 rats were randomly divided into control group, sham stimulation group and stimulation group. Four weeks after BrdU injection, the rats were sacrificed and immunohistochemistry and immunofluorescence were used to investigate the migration and differentiation of NSC in OB. Results In SVZ, BrdU - positive cells began to increase 1 d after stimulation (17. 67 ± 1.03, P <0.01) .reached to the maximum level at 1 week(28. 50 ± 1. 87, P <0. 01) ,then decreased to normal at 3 week. Four weeks after injection of BrdU,the BrdU -positive cells significantly increased in RMS(67. 33 ±3.50, P <0.01) and OB(44.33 ±5.47, P <0.01) in stimulation group. Fluorescence double staining showed that the stimulation of OB had no effect on the differentiation of NSC into neurons or gliocytes. Conclusions Electrical stimulation of OB could promote proliferation, migration of NSC in SVZ, but it has no effect on the differentiation of NSC into neurons or gliocytes.     

不同电刺激对卒中后大鼠神经前体细胞增殖的影响

目的 探讨不同部位电刺激治疗对脑卒中后大鼠神经前体细胞增殖的作用.方法 选择2～3月龄,体质量80～120 g雄性SD大鼠95只,随机分为梗死灶周围电刺激组(A组)、肢体电刺激组(B组)、对照组(C组)和假手术组(D组).建立大脑中动脉闭塞模型,在术后24 h开始对两电刺激组大鼠头皮和肢体电刺激治疗.在梗死后7d、14d、21 d、28 d以横木行走试验(BWT)进行神经功能评分,同时进行室管膜和室管膜下5-溴脱氧尿嘧啶核苷(Brdu)的免疫组织化学检测.结果 A组及B组缺血后室管膜Brdu的表达与C组比较在7、14d差异均有统计学意义(P＜0.05),MCAO后7d二者相比Brdu 在室管膜和室管膜下区的表达差异有统计学意义(P＜0.05);MCAO后21dA组Brdu的表达和C组差异有统计学意义(P＜0.05),但此时B组和C组差异无统计学意义(P＞0.05);在MCAO后第1天及第28天三者之间的Brdu均有表达但差异无统计学意义(P＞0.05).结论 电刺激促进MCAO后神经干细胞的增殖,但梗死灶周围头皮电刺激治疗较肢体电刺激治疗引起的神经干细胞增殖明显.     

脑室内注射碱性成纤维细胞生长因子治疗大鼠创伤生脑外伤的实验研究

目的 探讨脑室内注射碱性成纤维细胞生长因子(bFGF)对创伤性脑外伤大鼠是否具有治疗作用. 方法 24只成年SD大鼠按随机数字表法分为治疗组和对照组,采用改良的Feeney氏自由落体撞击方法建立大鼠创伤性脑外伤模型,致伤后24 h分别给予脑室内注射bFGF和等量的生理盐水;采用行为测试试验(前肢放置试验、平衡试验)评分观察肢体功能恢复情况;采用免疫组化法,以5溴脱氧嘧啶尿苷(Brdu)标记神经干细胞,观察并比较两组大鼠致伤后第3、7、14天侧脑室室管膜下区(SVZ)、海马齿状回及损伤区域Brdu阳性细胞的表达. 结果 治疗组前肢放置试验评分在第3～12天、平衡试验在第3～11天的评分低于对照组,比较差异有统汁学意义(P<0.05).治疗组双侧SVZ、海马齿状回和损伤区域出现的Brdu阳性细胞数较对照组明显增多,差异有统计学意义(P<0.05).两组损伤侧Brdu阳性细胞数均高于损伤对侧,比较差异有统计学意义(P<0.05).行为学评分与Brdu阳性细胞数之间呈负相关关系. 结论 脑室内注射bFGF有助于创伤性脑外伤大鼠模型内源性神经干细胞的增殖,并能促进其肢体功能的恢复.     

大鼠局灶性脑缺血后神经前体细胞增殖迁移的研究

目的研究成年大鼠内源性神经前体细胞在局灶性脑缺血后不同时间窗的增殖分化情况。方法用Longa线栓法制作大鼠脑缺血模型，用免疫组化的方法检测大鼠内源性神经前体细胞最佳增殖时间及最大增殖效果：j结果脑缺血半球室管膜下区、嗅球和头端迁徙渠道(rostral migratory stream，RMS)Brdu阳性细胞数在脑缺血后1d明显增多，3～7d达高峰，14d后开始下降；Brdu阳性细胞数在脑缺血半球室管膜下区和嗅球成止相关；脯缺血侧海马齿状回未见Brdu阳性细胞数明显增多；Brdu阳性细胞在脑缺血缸后第3周数量最大，从第4周开始下降。结论成年大鼠局灶性脑缺血后3～7d内源性神经前体细胞增殖达高峰，住该期进行外源性细胞移植治疗可能更有效。     

脐血干细胞移植对小鼠脑梗死后神经生长因子的影响

目的分析脐血干细胞移植对小鼠脑梗死后神经生长因子的影响。方法建立大鼠大脑中动脉闭塞(middle cerebral artery obstruction,MCAO)脑梗死模75只,分为实验组、阿司匹林组以及生理盐水组各25只。实验组采用脐血干细胞移植治疗,阿司匹林组大鼠给予阿司匹林灌胃治疗,生理盐水治疗组在侧脑室注入生理盐水。观察3组大鼠治疗后血清NGF水平、神经功能缺损评分,分析3组大鼠在3周、6周以及8周的Brdu阳性细胞计数的差别。结果实验前,3组大鼠血清NGF水平无差别(P0.05)。经过治疗,实验组与阿司匹林组在2d、4d、6d、13d、20d、27d及34d的血清NGF显著高于生理盐水组,有显著性差异(P0.05),但实验组大鼠血清NGF水平在6d、13d、20d、27d以及34d显著高于阿司匹林组(P0.05);造模前,3组大鼠神经功能缺损评分均为0。实验后,实验组与阿司匹林组神经功能缺损评分在2d、4d、6d、13d、20d、27d以及34d的均显著低于生理盐水组,差异有统计学意义(P0.05),但实验组大鼠在6d、13d、20d、27d及34d的神经功能缺损评分明显低于阿司匹林组大鼠,差异有统计学意义(P0.05);经免疫组化技术分析,实验组与阿司匹林大鼠在3周、6周以及8周的Brdu阳性细胞计数显著多于生理盐水组,差异有统计学意义(P0.05);实验组大鼠的Brdu阳性细胞计数在6周、8周显著高于阿司匹林组,差异有统计学意义(P0.05)。结论脐血干细胞能够在脑梗死大鼠脑内存活、迁徙和分化,显著提高脑梗死大鼠神经生长因子的水平,显著改善其神经功能缺损状况。     

N-Methyl-D-Aspartate受体拮抗剂对大鼠海马神经干细胞内源性激活的实验研究

目的研究N-Methyl-D-Aspartate(NMDA)受体拮抗剂MK-801对大鼠神经干细胞(NSC)内源性激活的作用.方法将不同年龄阶段(10 d、3月、10月)的SD大鼠分为实验组和对照组,实验组腹腔注射MK-801,对照组腹腔注射生理盐水,用免疫组织化学方法测定两组大鼠海马齿状回颗粒层(SGZ)的Brdu阳性细胞、Nestin阳性细胞表达数.结果2组的10 d幼鼠,Brdu阳性细胞、Nestin阳性细胞增殖均不明显,2组无显著差异(P＞0.05),而在3月成年鼠实验组Brdu阳性细胞7 d达高峰,Nestin阳性细胞11 d达高峰,较对照组增殖较明显(P＜0.05);实验组10月老龄鼠Brdu阳性细胞、Nestin阳性细胞表达更明显,并可持续到18 d,2组比较统计学有显著意义(P＜0.01).结论NMDA受体拮抗剂MK-801可明显促进3月成鼠、10月老年鼠脑中NSC的增殖、分化.     

碱性成纤维细胞生长因子、表皮生长因子对脑缺血大鼠内源性神经干细胞增殖的影响

目的探讨碱性成纤维细胞生长因子(bFGF)、表皮生长因子(EGF)对大鼠局灶性脑缺血模型内源性神经干细胞增殖的影响。方法通过大脑中动脉阻塞法建立大鼠的局灶性脑缺血模型,随机分组后分别皮下注射生理盐水、bFGF、EGF以及bFGF EGF;每日1次,共3d,此后每3d1次。采用免疫组化法,以5溴脱氧嘧啶尿苷(Brdu)标记神经干细胞,观察并比较各组大鼠制模后第7d、14d、21d侧脑室室管膜下区(SVZ)和海马齿状回Brdu阳性细胞的表达。结果制模后,各组大鼠双侧SVZ和海马齿状回均出现Brdu阳性细胞,且阳性细胞数随时间递减;与对照组相比,药物干预组Brdu阳性细胞数显著增加(P<0.05～0.01);与单药组相比,bFGF EGF组(联合组)Brdu阳性细胞数增加更明显(P<0.05～0.01);各药物干预组在制模第7dBrdu阳性细胞数最多(P<0.05～0.01)。结论皮下注射bFGF、EGF可促进脑缺血大鼠模型内源性神经干细胞的增殖;bFGF和EGF联合应用对脑缺血大鼠神经干细胞的增殖效应有协同作用。     

N-Methyl-D-Aspartate受体拮抗剂对脑缺血后成年大鼠神经干细胞内源性激活的实验研究

目的　研究N - Methyl- D- Aspartate(NMDA)受体拮抗剂MK- 80 1对脑缺血后神经干细胞(NSC)激活的作用。方法　将4 0只SD大鼠分成对照组和实验组,两组大鼠均采用传统线栓法作成大脑中动脉缺血再灌注模型,实验组大鼠腹腔注射MK- 80 1,对照组腹腔注射生理盐水,通过免疫组织化学技术标记鼠脑海马齿状回颗粒细胞层(SGZ)、室管膜下层(SVZ)及梗死皮质周边区注射后第3、7、11、18天的Brdu、Nestin阳性细胞数。结果　对照组大鼠Brdu、Nestin阳性细胞7d在SGZ出现一小高峰,然后迅速下降,11d阳性细胞甚少,梗死皮质周边区更少;而实验组Brdu、Nestin阳性细胞3d在SVZ明显表达,7～11d在SGZ区达高峰,并可持续至18d,同样梗死皮质区Brdu、Nestin阳性细胞7～18d表达明显,两组比较,有统计学意义(P<0 .0 1)。结论　NMDA受体拮抗剂MK- 80 1在脑缺血后,能促进NSC的增殖、分化。     

The effect of age of onset of PD on risk of dementia

Background Dementia occurs in the majority of patients with Parkinson’s disease (PD). Late onset of PD has been reported to be associated with a higher risk for dementia. However, age at onset (AAO) and age at baseline assessment are often correlated. The aim of this study was to explore whether AAO of PD symptoms is a risk factor for dementia independent of the general effect of age. Methods Two community-based studies of PD in New York (n = 281) and Rogaland county, Norway (n = 227) and two population-based groups of healthy elderly from New York (n = 180) and Odense, Denmark (n = 2414) were followed prospectively for 3–4 years and assessed for dementia according to DSM-IIIR. All PD and control cases underwent neurological examination and were followed with neurological and neuropsychological assessments. We used Cox proportional hazards regression based on three different time scales to explore the effect of AAO of PD on risk of dementia, adjusting for age at baseline and other demographic and clinical variables. Findings In both PD groups and in the pooled analyses, there was a significant effect of age at baseline assessment on the time to develop dementia, but there was no effect of AAO independent of age itself. Consistent with these results, there was no increased relative effect of age on the time to develop dementia in PD cases compared with controls. Interpretation This study shows that it is the general effect of age, rather than AAO that is associated with incident dementia in subjects with PD. Received in revised form: 22 December 2005     

腺垂体功能减退症临床特征变化分析

目的探讨腺垂体功能减退症患者的病因结构变化及临床表现。方法回顾性分析我院2013-01—2016-12住院及门诊78例腺垂体功能减退症患者的临床资料。结果男32例(41.03%),女46例(58.97%);诊断时年龄11~89岁,平均62.5岁;鞍区占位(包括术前及术后)52例(66.67%),席汉综合征8例(10.26%),空泡蝶鞍9例(11.65%),病因不明8例(10.26%),垂体-下丘脑发育不良1例(1.28%)。首次就诊科室:纳差厌食、恶心呕吐就诊于消化内科36例(46.15%)最常见。ACTH+TSH+Gn+G激素缺乏为19例最多,占24.36%,ACTH+TSH+Gn缺乏15例,占19.23%。结论腺垂体功能减退症病因结构发生变化,发病人群、首发症状及受累激素也不同,患者女性多于男性,发病年龄偏高,症状不典型,分布于临床多个科室,其中以低钠血症为首发临床表现就诊消化内科最多。     

Standards of instrumentation of EMG

Standardization of Electromyography (EMG) instrumentation is of particular importance to ensure high quality recordings. This consensus report on “Standards of Instrumentation of EMG” is an update and extension of the earlier IFCN Guidelines published in 1999. First, a panel of experts in different fields from different geographical distributions was invited to submit a section on their particular interest and expertise. Then, the merged document was circulated for comments and edits until a consensus emerged.The first sections in this document cover technical aspects such as instrumentation, EMG hardware and software including amplifiers and filters, digital signal analysis and instrumentation settings. Other sections cover the topics such as temporary storage, trigger and delay line, averaging, electrode types, stimulation techniques for optimal and standardised EMG examinations, and the artefacts electromyographers may face and safety rules they should follow. Finally, storage of data and databases, report generators and external communication are summarized.     

帕金森病运动症状进展分析

目的分析帕金森病(PD)患者运动症状进展特点。方法采用PD统一评分量表(UPDRS)Ⅲ对912例PD患者进行评估。结果与病程1年的患者比较,除病程1~2年的患者外,其他病程患者的UPDRSⅢ评分、强直分、姿势或步态异常分、轴性症状总分、言语分、步态分显著升高(均P0.05),病程5~6年及14年患者的震颤分,病程5~6年、7~8年、9~13年、14年患者的运动迟缓分、姿势分显著升高(P0.05~0.01)。轴性症状进展速度高于UPDRSⅢ评分。结论 PD患者病程早期UPDRSⅢ评分进展快,震颤症状进展独立于其他症状,轴性症状评分较UPDRSⅢ更敏感地反映疾病加重趋势。     

Frequency of accumulation of filaments in adaxonal cytoplasm of Schwann cells of myelinated fibers of rat spinal roots

Summary The frequency of accumulation of 6-nm filaments in the adaxonal cytoplasm of Schwann cells in the 6th lumbar dorsal and ventral roots was evaluated in 4-, 8-, 26- and 45-week-old Sprague-Dawley rats. The frequency was higher in 4- and 8-week-old (growing) rats than in 26- and 45-week old (mature) rats, and also higher in ventral than in dorsal roots in 4-, 8- and 26-week old rats. There were no clusters on certain groups of myelinated fibers according to the size of transverse axonal area, in both the ventral and dorsal roots. Therefore, this accumulation may reflect certain functions of the adaxonal cytoplasm of Schwann cell during natural growth and maturation of the axon and myelin sheath.     

Function of circle of Willis

Nearly 400 years ago, Thomas Willis described the arterial ring at the base of the brain (the circle of Willis, CW) and recognized it as a compensatory system in the case of arterial occlusion. This theory is still accepted. We present several arguments that via negativa should discard the compensatory theory. (1) Current theory is anthropocentric; it ignores other species and their analog structures. (2) Arterial pathologies are diseases of old age, appearing after gene propagation. (3) According to the current theory, evolution has foresight. (4) Its commonness among animals indicates that it is probably a convergent evolutionary structure. (5) It was observed that communicating arteries are too small for effective blood flow, and (6) missing or hypoplastic in the majority of the population. We infer that CW, under physiologic conditions, serves as a passive pressure dissipating system; without considerable blood flow, pressure is transferred from the high to low pressure end, the latter being another arterial component of CW. Pressure gradient exists because pulse wave and blood flow arrive into the skull through different cerebral arteries asynchronously, due to arterial tree asymmetry. Therefore, CW and its communicating arteries protect cerebral artery and blood–brain barrier from hemodynamic stress.     

Effects of prevention of afferentation of the development of the chick optic lobe

BONDY, S. C., M. E. HARRINGTON AND C. L. ANDERSON. Effects of prevention of afferentation on the developmentof the chick optic lobe. BRAIN RES. BULL. 3(5) 411–413, 1978.—The effects of unilateral extirpation of the right optic cup of the three-day incubated chick embryo upon the rate of synthesis and the stability of DNA in the non-innervated optic lobe, have been studied. This surgical procedure prevents innervation of the optic lobe contralateral to the removed eye, while the other optic lobe is normally innervated by retinal ganglion cells of the remaining eye. At the 20th day of incubation, the DNA content of the non-innervated lobe was below that of the paired lobe receiving normal innervation. This deficiency of cell number was caused by two events; death of an excess number of neurons formed early in embryogenesis and a reduced rate of glial proliferation in the later stages of incubation.     

Release of endogenous catecholamines from slices of hypothalamus of rats

The release of endogenous catecholamines from superfused slices of rat hypothalamus was studied under basal conditions and during release evoked by 40 mM K⁺. Catecholamines in superfusates, and in extracts of the tissue after stimulation, were isolated by column chromatography and quantitated by liquid chromatography with electrochemical detection. Norepinephrine (NE) was not consistently demonstrable in superfusate collected under basal conditions, but 40 mM K⁺ caused the release of from 2 to 4 ng/g of tissue per min. The addition of cocaine to the superfusate caused increases in basal and evoked release of NE. Epinephrine (E) could be measured in superfusates of slices from male but not female rats and then only when cocaine was added to the superfusate. Accordingly, the concentration of E in hypothalamus was greater in male rats than in female rats. Dopamine (DA) was not consistently measurable in the spontaneous overflow from slices either in the presence or absence of cocaine. K⁺-evoked release of DA could be demonstrated in slices from female rats. The addition of cocaine increased the evoked release of DA from slices from both sexes. Corticosterone, added to cocaine, had no effects on the efflux of any of the catecholamines. The experiments suggest that neuronal reuptake of all catecholamines is very efficient in the hypothalamus both under basal conditions and during evoked release.     

《绵阳市社会心理服务工作管理办法》解读

2018年,国家卫生健康委员会等10部委联合发布《关于印发全国社会心理服务体系建设试点工作方案的通知》,四川省绵阳市被列为全国第一批试点地区。绵阳市人民政府依据《中华人民共和国精神卫生法》等相关法律法规和文件精神,结合前期调查研究和社会心理服务工作的试点实际,编制出台了《绵阳市社会心理服务工作管理办法》,并于2021年12月25日起施行。本文围绕社会心理服务的相关概念、办法总则、重点内容、保障措施等方面进行解读,以期为社会心理服务工作的规范、持续和有效开展提供参考。     

阿立哌唑对精神分裂症患者生活质量的影响

目的:比较阿立哌唑与利培酮对精神分裂症患者生活质量的影响。方法:60例精神分裂患者随机平分为两组各30例,分别给予阿立哌唑和利培酮治疗。疗程8周。用生活质量综合评定问卷-74(GQOLI-74)、阳性与阴性症状量表(PANSS)及副反应量表(TESS)评定疗效及不良反应。结果:阿立哌唑与利培酮均能显著提高精神分裂症患者生活质量,但阿立哌唑在改善GQOLI-74总分、躯体健康及社会功能维度优于利培酮。结论:阿立哌唑治疗有利于提高精神分裂症患者生活质量。