医学临床研究
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医学临床研究  2021, Vol. 38 Issue (7): 1011-1013    DOI: 10.3969/j.issn.1671-7171.2021.07.014
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佐匹克隆治疗精神分裂症合并睡眠障碍患者的临床疗效及对相关神经因子水平的影响
李英1, 安国松2**
1.陕西省荣复军人第二医院,陕西 华阴 714200;
2.陕西省中医药大学第二附属医院推倒拿疼痛科,陕西 咸阳 712000
Clinical Efficacy of Zopiclone in the Treatment of Schizophrenia Complicated with Sleep Disorder and its Effect on the Level of Related Nerve Factors
LI Ying, AN Guo-song
the Second Veteran Hospital of Shanxi Province, Huayin 714200,China
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摘要 【目的】探讨佐匹克隆治疗精神分裂症合并睡眠障碍患者的临床疗效及对相关神经因子水平的影响。【方法】回顾性分析2019年2月至2020年2月本院收治的90例精神分裂症合并睡眠障碍患者的临床资料,根据治疗方法的不同将其分为对照组和观察组,每组各45例。对照组给予口服阿立哌唑+阿普唑仑,观察组给予口服阿立哌唑+佐匹克隆。比较两组患者临床疗效,治疗前后睡眠质量(PSQI)、血清5-羟色胺(5-HT)以及核转录因子-κB(NF-κB)。观察并记录两组患者服药期间不良反应发生情况等。【结果】治疗1周后观察组PSQI评分低于对照组,差异有统计学意义(P<0.05);治疗前、治疗2周及3周,两组患者PSQI评分比较,差异无统计学意义(P>0.05)。观察组有效率为75.56%(34/45),显著高于对照组的55.56%(25/45),差异有统计学意义(χ2=3.986,P=0.046<0.05)。治疗后,两组血清NF-κB水平低于治疗前,5-HT水平高于治疗前,且观察组与对照组比较差异有统计学意义(P<0.05)。观察组不良反应发生率为24.44%(11/45),低于对照组的44.44%(20/45),差异有统计学意义(P<0.05)。【结论】佐匹克隆可较好改善精神分裂症合并睡眠障碍患者睡眠质量,不良反应发生率少,可能与佐匹克隆调节机体血清5-HT、NF-κB水平有关。
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作者相关文章
李英
安国松
关键词 精神分裂症/并发症睡眠障碍精神分裂症/药物疗法哌嗪类/药理学治疗结果    
Abstract:【Objective】To explore the clinical effect and mechanism of zopiclone in the treatment of schizophrenia with sleep disorders. 【Methods】The clinical data of 90 patients with schizophrenia complicated with sleep disorder treated in our hospital from February 2019 to February 2020 were retrospectively analyzed. According to different treatment methods, they were divided into control group and observation group, with 45 cases in each group. The control group was given oral aripiprazole + alprazolam, and the observation group was given oral aripiprazole + zopiclone. The clinical efficacy, sleep quality(PSQI), serum serotonin(5-HT) and nuclear transcription factor were compared between the two groups before and after treatment-κB(NF-κB). The adverse reactions of the two groups were observed and recorded. 【Results】After one week of treatment, the PSQI score of the observation group was lower than that of the control group(P<0.05); There was no significant difference in PSQI scores between the two groups before treatment, 2 weeks and 3 weeks of treatment(P>0.05). The effective rate of the observation group was 75.56%(34/45), which was significantly higher than 55.56%(25/45) of the control group(χ2 =3.986,P=0.046<0.05). After treatment, serum NF-κB , the level of was lower than that before treatment, and the level of 5-HT was higher than that before treatment, and there was significant difference between the observation group and the control group(P<0.05). The incidence of adverse reactions in the observation group was 24.44%(11/45), which was lower than 44.44%(20/45) in the control group(P<0.05).【Conclusion】Zopiclone can better improve the sleep quality of schizophrenic patients with sleep disorders, and the incidence of adverse reactions is less. It may be related to the regulation of serum 5-HT and NF-κB by zopiclonelevel.
Key wordsSchizophrenia/CO    SLEEP DISORDERS    Schizophrenia/DT    Piperazines/PD    Treatment Outcome
收稿日期: 2020-10-10     
中图分类号:  R543.1  
基金资助:陕西省重点研发计划项目(S2009-YF-YBSF-0180)
通讯作者: **E-mail:958483343@qq.com   
引用本文:   
李英, 安国松. 佐匹克隆治疗精神分裂症合并睡眠障碍患者的临床疗效及对相关神经因子水平的影响[J]. 医学临床研究, 2021, 38(7): 1011-1013.
LI Ying, AN Guo-song. Clinical Efficacy of Zopiclone in the Treatment of Schizophrenia Complicated with Sleep Disorder and its Effect on the Level of Related Nerve Factors. JOURNAL OF CLINICAL RESEARCH, 2021, 38(7): 1011-1013.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2021.07.014     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2021/V38/I7/1011
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