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奎硫平与氯氮平治疗首发精神分裂症对认知功能的影响
引用本文:李丛梅,郭立.奎硫平与氯氮平治疗首发精神分裂症对认知功能的影响[J].中国民康医学,2003,15(12):718-718,721.
作者姓名:李丛梅  郭立
作者单位:1. 山东省滨州市人民医院精神卫生中心,256613
2. 河南省沈邱县人民医院
摘    要:目的:比较奎硫平和氯氮平对首发精神分裂症患者认知功能的影响。方法:将符合入组标准的首发精神分裂症患者62例随机分为奎硫平组和氯氮平组,分别进行8周系统治疗,用阳性与阴性症状量表(PANSS)、韦氏成人智力量表(WAIS-RC)和临床记忆量表(CMS)进行检查,评估其疗效和对认知功能的影响。结果:脱落3例,59例患者在8周治疗后PANSS总分明显下降(P<0.01),两组之间差异无显著性(P>0.05)。奎硫平组的WAIS-RC、CMS总分均明显高于氯氮平组,差异有显著性(P<0.05)。结论:奎硫平对首发精神分裂症患者认知功能的影响明显好于氯氮平。

关 键 词:奎硫平  氯氮平  治疗  认知功能  精神分裂症  疗效  抗精神病药
文章编号:1672-0369(2003)12-0718-02

A comparison of cognitive function in the first-onset schizophrenia treated with quetiapine and clozapine
LI Cong-mei,GUO Li.A comparison of cognitive function in the first-onset schizophrenia treated with quetiapine and clozapine[J].medical journal of chinese peoples health,2003,15(12):718-718,721.
Authors:LI Cong-mei  GUO Li
Abstract:Objective: To compare the effects of quetiapine and clozapine on cognitive function in the first-onset schizophrenic patients. Methods: 62 patients with first-onset schizophrenia were randomly divided into quetiapine group for 8 weeks.The therapeutic response and cognitive function were assessed by the positive and negative symptoms scale(PANSS) , wechsler adult intelligence scale (WAIS)and the clinical memory scale(CMS) .Results:The toatl score of PANSS were significantly decreased after treatment with quetiapine or clozapine (P <0.05) .The total score of WAIS and CMS were significantly highter in quetiapine group than in clozapine group (P <0.05) .Conclusion:The study suggests that the effects of quetiapine on cognitive function in first-onset schizophrenia are better than that of clozapine.
Keywords:Schizophrenia  Cognitive  Quetiapine  Clozapine
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