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奥氮平治疗急性谵妄的临床疗效观察 被引量:2

Olanzapine Treatment of Acute Delirium in Psychiatric Symptoms Associated with Clinical Efficacy
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摘要 目的:研究奥氮平对伴有严重精神症状的急性谵妄患者的临床疗效。方法:76例确诊为急性谵妄的患者随机分为两组,治疗组39人和对照组37人。在积极治疗原发病的同时,治疗组患者合并使用奥氮平治疗,对照组患者合并使用地西泮治疗。于治疗前,治疗2周,4周后分别使用谵妄评定量表(CAM-CR),临床总体印象量表(CGI)和药物副作用量表给予评分。结果:与治疗前相比,研究组在治疗2周后的CAM-CR和CGI量表评分有明显改善(P<0.05),而对照组改善不明显,有的患者症状加重。经过4周治疗后,研究组患者改善更明显(P<0.01),而对照组亦有明显改善(P<0.01),其中对照组有2例患者死亡。研究组与对照组的药物副作用量表评分无明显差异(P>0.05)。结论:奥氮平对于快速治疗急性谵妄患者有较好的疗效。 Objective: To study of olanzapine treatment of acute delirium in severity psychiatric symptoms associated with clinical efficacy. Methods:76 patients were diagnosed as acute delirium patients were randomly divided into two groups ,the treatment group 39 and the control group 37. In the active treatment of pri- mary disease, while the treatment group of patients olanzapine combination therapy, patients in the control group combined with diasepam treatment. In the treatment of pre - treatment 2 weeks,4 weeks respectively after using the delirium rating scale (CAM - CR), Clinical Global Impression Scale (CGI) and drug side effects rat- ing scale given. Results: Compared with those before treatment,the Study Group in the treatment of 2 weeks after the CAM - CR and the CGI Scale score significantly improved (P 〈 0.05 ), while the control group, no obvious improvement, and some patient's symptoms increased. After 4 weeks of treatment, the study group of patients improved more significantly (P 〈0.01),while the control group also improved significantly (P 〈0.01 ) ,in which the control group,2 patients died. Study group and control group of drug side effects rating scale was no significant difference ( P 〉 0.05 ). Conclusion: Olanzapine for rapid treatment of acute delirium patients have a better effect.
作者 施海姗 郑东
机构地区 广州市脑科医院
出处 《医学信息(中旬刊)》 2010年第5期1049-1051,共3页 Medical Information Operations Sciences Fascicule
关键词 奥氮平 急性谵妄 临床疗效观察 Acute delirium Olanzapine Clinical observation
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