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15例难治性精神分裂症患者由氯氮平换用喹硫平治疗的临床报告
引用本文:贾竑晓,朱虹,陈斌,江镇康,张继志.15例难治性精神分裂症患者由氯氮平换用喹硫平治疗的临床报告[J].上海精神医学,2011,23(3):180-181.
作者姓名:贾竑晓  朱虹  陈斌  江镇康  张继志
作者单位:首都医科大学附属北京安定医院,100088
摘    要:虽然氯氮平是治疗精神分裂症的二线药物,并能够将其他抗精神病药物治疗无效的精神分裂症的疗效提高30%左右,但仍然有部分患者对氯氮平治疗无效,或不能耐受氯氮平的不良反应,此时就需要将氯氮平换为其他精神病药物。但由于撤药综合征的问题,氯氮平换用其他抗精神病药物被大部分精神科医生视为临床难题。本文就此总结了15例服用氯氮平的精神分裂症患者换用喹硫平的临床特点。

关 键 词:难治性精神分裂症患者  药物治疗  临床报告  氯氮平  喹硫平  抗精神病药物  撤药综合征  精神科医生

Substituting quetiapine for clozapine in 15 treatment-resistant patients with schizophrenia
Hong Xiao JIA,Hong Zhu,Bin CHEN,Zhen Kang JIANG,Ji Zhi ZHANG.Substituting quetiapine for clozapine in 15 treatment-resistant patients with schizophrenia[J].Shanghai Archives of Psychiatry,2011,23(3):180-181.
Authors:Hong Xiao JIA  Hong Zhu  Bin CHEN  Zhen Kang JIANG  Ji Zhi ZHANG
Institution:Hong Xiao JIA,Hong Zhu,Bin CHEN,Zhen Kang JIANG,Ji Zhi ZHANGBeijing Anding Hospital,Capital Medical University,Beijing 100088,China
Abstract:Fifteen treatment-refractory patients with schizophrenia who continued to have active psychotic symptoms after being converted to treatment with clozapine because of prior unsatisfactory results with at least three other types of antipsychotics were subsequently withdrawn from clozapine and converted to treatment with quetiapine.The outcome of the conversion was assessed using the Clinical Global Impression(CGI)scale three month later.Among the 15 patients,4(27%)successfully converted to quetiapine and 4(27...
Keywords:Schizophrenia  Clozapine  Quetiapine  Conversion of medication  
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