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宁夏回族自治区宁安医院精神科
纸质出版日期:2021,
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白红娟, 马学银, 李峰. 九味镇心颗粒联合丙戊酸钠缓释片治疗双相情感障碍维持期的疗效观察[J]. 中国医院用药评价与分析, 2021,21(7):792-795.
BAI Hongjuan, MA Xueyin, LI Feng. Efficacy of Jiuwei Zhenxin Granules Combined with Sodium Valproate Sustained Release Tablets in the Treatment of Bipolar Affective Disorder in Maintenance Period[J]. 2021,21(7):792-795.
白红娟, 马学银, 李峰. 九味镇心颗粒联合丙戊酸钠缓释片治疗双相情感障碍维持期的疗效观察[J]. 中国医院用药评价与分析, 2021,21(7):792-795. DOI: 10.14009/j.issn.1672-2124.2021.07.005.
BAI Hongjuan, MA Xueyin, LI Feng. Efficacy of Jiuwei Zhenxin Granules Combined with Sodium Valproate Sustained Release Tablets in the Treatment of Bipolar Affective Disorder in Maintenance Period[J]. 2021,21(7):792-795. DOI: 10.14009/j.issn.1672-2124.2021.07.005.
目的:探讨九味镇心颗粒联合丙戊酸钠缓释片治疗双相情感障碍维持期的疗效。方法:选取2017年6月至2020年6月宁夏回族自治区宁安医院收治的双相情感障碍维持期患者92例
按随机数字表法分为对照组(46例)和研究组(46例)。对照组患者给予丙戊酸钠缓释片治疗
研究组患者在对照组的基础上给予九味镇心颗粒治疗
疗程均为2个月。观察两组患者的临床疗效
采用多导睡眠图检测睡眠情况
采用连线测验(trail making test
TMT)评估认知功能
采用生活质量综合评定问卷(generic quality of life inventory
GQL-LI)评定生活质量;记录治疗期间出现的不良反应。结果:研究组患者的临床总有效率为91.30%(42/46)
明显高于对照组的73.91%(34/46)
差异有统计学意义(P <0.05)。两组患者治疗后的睡眠效率明显高于治疗前
睡眠总时间、快速眼动睡眠时间明显长于治疗前
睡眠潜伏期、醒觉时间明显短于治疗前;且研究组患者的睡眠效率明显高于对照组
睡眠总时间、快速眼动睡眠睡眠时间明显长于对照组
睡眠潜伏期、醒觉时间明显短于对照组
差异均有统计学意义(P <0.05)。两组患者治疗后的TMT-A、TMT-B时间明显短于治疗前
GQL-LI评分明显高于治疗前;且研究组患者的TMT-A、TMT-B时间明显短于对照组
GQL-LI评分明显高于对照组
差异均有统计学意义(P <0.05)。对照组、研究组患者的不良反应发生率分别为19.57%(9/46)、8.70%(4/46)
差异无统计学意义(P> 0.05)。结论:九味镇心颗粒联合丙戊酸钠缓释片治疗双相情感障碍维持期的临床效果较佳
可改善患者睡眠质量
延长夜间睡眠时间
改善患者的认知功能
且安全性较高
可为临床治疗双相情感障碍维持期的患者提供参考方案。
OBJECTIVE: To probe into the efficacy of Jiuwei Zhenxin Granules combined with sodium valproate sustained release tablets in the treatment of bipolar affective disorder in maintenance period. METHODS: Totally 92 patients with bipolar affective disorder admitted into Ningxia Ning’an Hospital from Jun. 2017 to Jun. 2020 were selected and divided into control group and research group via random number table
with 46 cases in each group. The control group was treated with sodium valproate sustained release tablets
while the research group was given Jiuwei Zhenxin Granules based on the control group
both groups were treated for 2 months. The clinical efficacy of two groups were observed
polysomnogram was used to detect the sleep quality
trail making test( TMT) was used to evaluate the cognitive function
generic quality of life inventory( GQL-LI) was used to assess the life quality; and adverse drug reactions during treatment were recorded. RESULTS: The clinical total effective rate of research group was 91. 30%( 42/46)
which was significantly higher than that of the control group( 73. 91%
34/46)
with statistically significant difference( P < 0. 05). The sleep efficiency of patients in both groups were significantly higher than those of before treatment
the total sleep time and rapid eye movement sleep time of patients in both groups were significantly longer than those of before treatment
the sleep latency and waking time of patients in both groups were significantly shorter than those of before treatment; patients in the research group had significantly higher sleep efficiency
significantly longer total sleep time and rapid eye movement sleep sleep time
and significantly shorter sleep latency and waking time than those in the control group
with statistically significant differences( P < 0. 05). The TMT-A and TMT-B times of both groups after treatment were significantly shorter and the GQL-LI scores were significantly higher than those of before treatment; patients in the research group had significantly shorter TMT-A and TMT-B times and significantly higher GQL-LI scores than those in the control group
with statistically significant differences( P < 0. 05).The incidences of adverse drug reactions of control group and research group were respectively 19. 57%( 9/46) and8. 70%( 4/46)
with no statistically significant difference( P > 0. 05). CONCLUSIONS: The clinical effect of Jiuwei Zhenxin Granules combined with sodium valproate sustained release tablets in the treatment of bipolar affective disorder in maintenance period is remarkable
which can improve patients’ sleep quality
prolong nighttime sleep time and promote patients’ cognitive function
with high safety
and can provide a reference scheme for clinical treatment of bipolar affective disorder in maintenance phase.
九味镇心颗粒丙戊酸钠双相情感障碍维持期临床疗效
Jiuwei Zhenxin GranulesSodium valproateBipolar affective disorder in maintenance periodClinical efficacy
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