期刊文献+

奥氮平对儿童精神分裂症患者糖脂代谢、肝功能及泌乳素的影响 被引量:26

Effects of olanzapine on glucose and lipidmetabolism,liver function and prolactin in childhood onset schizophrenia
下载PDF
导出
摘要 目的探讨奥氮平对儿童精神分裂症(COS)患者糖脂代谢、肝功能及泌乳素水平的影响,为临床用药提供参考。方法选取38例COS患者(13~17岁)进行为期至少2周的奥氮平治疗,比较治疗前、后患者的体质量、丙氨酸氨基转氨酶(ALT)、天门冬酸氨基转氨酶(AST)、总胆固醇(TC)、三酰甘油(TG)、血糖(GLU)、泌乳素(PRL)的变化。结果服药治疗后患儿的体质量明显增加,平均增加(3.50±1.90)kg(P<0.01)。治疗后患儿的ALT、AST、TC、TG、PRL均高于治疗前(P<0.05)。但是治疗前、后血糖比较差异无统计学意义(P=0.598)。治疗前后体质量的变化与ALT、AST水平呈正相关(r=0.366、0.377,P<0.05);而治疗前、后患儿的PRL与体质量的改变则呈负相关(r=-0.432,P<0.01)。结论奥氮平可以导致COS患者的体质量增加,ALT、AST、TC、TG、PRL水平升高。 Objective To study the effects of olanzapine on glucolipid metabolism,liver function and prolactin level in childhood onset schizophrenia(COS)to provide reference for clinical medication.Methods Thirty-eight patients with COS aged 13-17 years old were treated with olanzapine for at least two weeks.The changes of body mass,alanine aminotransferase(ALT),aspartate aminotransferase(AST),total cholesterol(TC),triglyceride(TG),glucose(GLU)and prolactin(PRL)were detected and compared between before and after treatment.Results The body mass after medication in children patients was significantly increased,average increase by(3.50±1.90)kg(P〈0.01).The levels of ALT,AST,TC,TG and PRL after treatment were higher than before treatment(P〈0.05).However,there was no statistically significant difference in blood GLU level between before and after treatment(P=0.598).The body mass change before and after treatment was positively correlated with ALT and AST levels(r=0.366,0.377,P〈0.05);whereas the PRL level before and after treatment was negatively correlated with the body mass change(r=-0.432,P〈0.01).Conclusion Olanzapine can lead to the body weight gain and increase of ALT,AST,TC,TG and PRL levels in COS patients.
作者 刘克锋 田鑫 薛文华 赵杰 Liu Kefeng Tian Xin Xue Wenhua Zhao Jie(Department of Pharmacy, First Affiliated Hospital, Zhengzhou University, Zhengzhou 450052, Chin)
出处 《重庆医学》 CAS 北大核心 2017年第9期1193-1195,共3页 Chongqing medicine
关键词 奥氮平 精神分裂症 儿童 糖脂代谢 肝功能 泌乳素 olanzapine schizophrenia childhood glucolipid metabolism liver function prolactin
  • 相关文献

参考文献4

二级参考文献42

  • 1郭婵娥,陈鼎盛.抗精神病药物致闭经临证辨治[J].国际医药卫生导报,2003,9(18). 被引量:4
  • 2杜兆洪,伍华林.抗精神病药对肝功能的影响[J].实用医技杂志,2004,11(06A):885-886. 被引量:8
  • 3崔桂梅,王萍,李恒芬,张瑞岭.抗精神病药所致高泌乳素血症的中药治疗[J].四川中医,2004,22(10):64-65. 被引量:5
  • 4宋志强.常用抗精神病药物与肝功能异常(附618例临床分析)[J].青海医药杂志,1994,24(1):22-23. 被引量:2
  • 5Asarnow JR. Annotation: childhood-onset schizophrenia: clinical and treatment issues [J]. J Child Psyehol Psychiatry, 2004,45 (2) : 180-194.
  • 6Bellino S. Relationships of age at onset with clinical features and cognitive functions in a sample of schizophrenia patients [J]. J Clin Psychiatry, 2004,65(7):908-914.
  • 7Everett J. Performance of patients with schizophrenia on the Wisconsin Card Sorting Test (WCST) [J]. J Psychiatry Neurosci, 2001,26(2) : 123-130.
  • 8汤慈美.神经病学第七卷神经心理学[M].北京:人民军医出版社,2001:236-327.
  • 9Madhusoodanan S,Parida S,Jimenez C.Hyperprolactinemia associat- ed with psychotropics-a review [J].Hum Psychopharmacol,2010,25 (4):281-297.
  • 10Holt RI,Peveler RC.Antipsychoties and hyperprolactinemia:mecha- and management [J].ClinEndoerinol,2010,74(2): 141 - 147.

共引文献79

同被引文献192

引证文献26

二级引证文献215

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部