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喹硫平和利培酮治疗老年痴呆精神行为障碍的疗效研究
引用本文:沈辉,易正辉,张毅,杨琳,陈美娟. 喹硫平和利培酮治疗老年痴呆精神行为障碍的疗效研究[J]. 精神医学杂志, 2009, 22(3): 174-176
作者姓名:沈辉  易正辉  张毅  杨琳  陈美娟
作者单位:上海交通大学医学院附属精神卫生中心,201108  
摘    要:目的观察喹硫平和利培酮治疗老年痴呆精神行为症状的疗效和安全性。方法将60例老年期痴呆患者随机分为喹硫平组30例,利培酮组30例,共观察8周。治疗前及治疗后第2,4,8周分别采用AD病理行为评定量表(BEHAVE-AD)评定疗效;采用TESS量表评定不良反应。结果治疗前后两药的疗效相似(P〉0.05)。但治疗2周,4周时攻击行为和昼夜节律紊乱因子,喹硫平组疗效优于利培酮组,且存在显著差异(分别是P〈0.01,P〈0.05)。喹硫平组不良反应较利培酮组少。结论喹硫平治疗老年期痴呆精神行为障碍疗效与利培酮相当,但不良反应较利培酮少,更适用于老年患者。

关 键 词:喹硫平  利培酮  老年性痴呆

A study of quetiapine and risperidone in the treatment of patients with senile dementia accompanied by mental and behavioral symptoms
SHEN hui,YI Zhenghui,ZHANG yi,et al.. A study of quetiapine and risperidone in the treatment of patients with senile dementia accompanied by mental and behavioral symptoms[J]. Journal of Psychiatry, 2009, 22(3): 174-176
Authors:SHEN hui  YI Zhenghui  ZHANG yi  et al.
Affiliation:SHEN hui,YI Zhenghui,ZHANG yi,et al. Shanghai Mental Health Center,Shanghai 201108,China
Abstract:Objective To investigate the clinical efficacy and side effects of quetiapine and risperidone for treating behavioral and mental symptoms in elderly patients with dementia. Methods Sixty patients with senile dementia were randomly divided into two groups and treated with quetiapine or risperidone for eight weeks of treatment. The BEHAVE-AD and Treatment Emergent Symptoms Scale ( TESS) were used to evaluate efficacy and adverse effects before treatment and at the end of 2nd,4th,8th week after treatment. Resu...
Keywords:Quetiapine Risperidone Senile dementia  
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