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奥氮平合并氯氮平对男性难治性精神分裂症阴性症状的疗效及安全性的研究
引用本文:向伟,易正辉,徐庆华.奥氮平合并氯氮平对男性难治性精神分裂症阴性症状的疗效及安全性的研究[J].山东精神医学,2009,22(4):262-263.
作者姓名:向伟  易正辉  徐庆华
作者单位:上海交通大学医学院附属精神卫生中心,上海,200030 
摘    要:目的观察奥氮平合并氯氮平治疗男性以阴性症状为主的难治性精神分裂症的疗效以及安全性。方法对43例男性原服用氯氮平且以阴性症状为主的难治性精神分裂症患者合并奥氮平5~20mg/d治疗8周,同时于2周内将氯氮平减量且氯氮平剂量2周后不再变化,并于合并治疗前及后2周、4周、8周评定阳性症状与阴性症状量表(PANSS)、副反应量表(TESS)。结果合并奥氮平治疗后2周、4周、8周末PANSS总分和TESS评分较合并前有明显差异。结论奥氮平合并氯氮平对于男性难治性精神分裂症患者的阴性症状有明显的改善,副反应也有减少。

关 键 词:难治性精神分裂症  阴性症状  奥氮平  氯氮平

Effect of olanzapine combined with clozapine in the treatment of negative symptoms in male treatment-resistant schizophrenic patients.
XIANG Wei,YI Zhenghui,XU Qinghua.Effect of olanzapine combined with clozapine in the treatment of negative symptoms in male treatment-resistant schizophrenic patients.[J].Shangdong Archives of Psychiatry,2009,22(4):262-263.
Authors:XIANG Wei  YI Zhenghui  XU Qinghua
Affiliation:XIANG Wei,YI Zhenghui,XU Qinghua.Shanghai Mental Health Center,Shanghai Jiao Tong University,Shanghai 200030,China
Abstract:Objective To explore the efficacy and side effects of olanzapine combined with clozapine for treating negative symptoms of male patients with treatment-resistant schizophrenia.Methods A total of 43 male treatment-resistant schizophrenic inpatients with negative symptoms treated with clozapine were assigned to receiving olanzapine 5-20mg/d for 8 weeks,at the same time reducing clozapine to a maintenance dose in 2 weeks.The Positive and Negative Symptom Scale(PANSS) and Treatment Emergent Symptoms Scale(TESS)...
Keywords:Treatment-resistant schizophrenia  Negative symptom  Olanzapine  Clozapine
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