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抗精神病药所致体重增加的研究
引用本文:陈纯姿. 抗精神病药所致体重增加的研究[J]. 中国民康医学, 2001, 13(4): 217-219
作者姓名:陈纯姿
作者单位:515063,广东省汕头大学精神卫生中心
摘    要:目的比较典型(氯丙嗪与舒必利)与非典型抗精神病药(维思通与氯氮平)对体重的影响.方法对单服维思通、舒必利、氯氮平、氯丙嗪其中一种的精神分裂症患者,于用药前后测定体重的变化.结果服药8周后四种药物引起体重增加如下维思通组2.40kg,舒必利组2.73kg,氯氮平组3.71 kg,氯丙嗪组4.98 kg,其中维思通组与氯丙嗪组比较差异有极显著性(P<0.01);舒必利组与氯丙嗪组比较差异有显著性(P<0.05).各组男女体重变化差异无显著性,但男性平均体重的增加较女性高.结论典型与非典型抗精神病药均引起体重增加,其中对体重影响从小到大为维思通<舒必利<氯氮平<氯丙嗪.对体重影响的不同也导致同患病率的不同.上述各药对男女体重影响无明显不同.

关 键 词:维思通 舒必利 氯氮平 氯丙嗪 体重
修稿时间:2001-02-19

Antipsychotic agents and weight gain.
CHEN Chunzi. Antipsychotic agents and weight gain.[J]. medical journal of chinese peoples health, 2001, 13(4): 217-219
Authors:CHEN Chunzi
Affiliation:CHEN Chunzi.Mental Health Center in Shantou City Guangdong Province,515063,China
Abstract:Objectives:To study influence of conventional antipsychotics medicine and newer ones on weight gain.Methods:The weight had been measured before and after using risperidone,sulpiride,clozapine or chlorpromazine.Results:Mean weight gain after 8 weeks were as follow:risperidone 2 40 kg,sulpiride 2 73 kg,clozapine 3 71 kg,chlorpromazine 4 98 Kg.A statistical significance was observed on risperidone and chlorpromazine,sulpiride and chlorpromazine.The weight had no significant change between men and women in each group.Conclusion:Both conventional and newer antipsychotics were associated with weight gain.The order of these drugs inducing weight gain was as follow:risperidone
Keywords:Risperidone Sulpiride Clozapine Chlorpromazine Weight.
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