塞来昔布联合阿立哌唑治疗精神分裂症的疗效及其对患者血清炎症因子水平的影响
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Efficacy of celecoxib combined with aripiprazole in the treatment of schizophrenia and its effect on serum inflammatory factor levels
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    摘要:

    目的:探讨塞来昔布联合阿立哌唑对精神分裂症的治疗效果及其对患者血清炎症因子水平的影响。方法:选取181例精神分裂症患者为研究对象,依据治疗方案不同分为对照组(n=91)与观察组(n=90)。对照组患者予以阿立哌唑治疗;观察组患者予以塞来昔布联合阿立哌唑治疗,疗程均为8周。比较两组患者临床疗效、精神症状[阳性与阴性症状量表(PANSS)评分]、认知功能[可重复成套神经心理状态测量(RBANS)评分]、炎症因子[白细胞介素6(IL-6)、IL-1β、肿瘤坏死因子α(TNF-α)]水平及不良反应发生情况。结果:观察组患者临床总有效率高于对照组(94.44%vs.76.67%,P<0.05)。治疗后,相较于对照组,观察组患者阳性因子评分、阴性因子评分和PANSS总分均更低(P<0.05);RBANS评分更高(P<0.05);血清IL-6、IL-1β、TNF-α水平更低(P<0.05)。两组患者不良反应发生率无统计学差异(P>0.05)。结论:塞来昔布联合阿立哌唑治疗精神分裂症能够改善患者精神症状和认知功能,提高疗效的机制可能与降低炎症水平有关。

    Abstract:

    Objective:To investigate the efficacy of celecoxib combined with aripiprazole in the treatment of schizophrenia and its effect on serum inflammatory factor levels.Methods:181 patients with schizophrenia were divided into control group(n=91)and observation group(n=90)according to different treatment methods.The control group was treated with aripiprazole and the observation group was treated with celecoxib combined with aripiprazole for a course of 8 weeks.Before and after treat-ment,the patients were assessed with Positive and Negative Syndrome Scale(PANSS)and Repeatable Battery for the Assess-ment of Neuropsychological Status(RBANS),and the levels of serum interleukin-6(IL-6),IL-1β and tumor necrosis factor-α(TNF-α)were detected.The efficacy and adverse reactions of the two groups were compared.Results:Compared with the con-trol group,the total effective rate of the observation group was higher(94.44%vs.76.67%,P<0.05).After treatment,com-pared with the control group,the positive factor score,negative factor score and PANSS total score of the observation group were lower(P<0.05),and the RBANS score of the observation group was higher(P<0.05).After treatment,the observation group had lower serum IL-6,IL-1β and TNF-α levels than the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Celecoxib combined with aripiprazole in the treatment of schizophrenia can improve the mental symptoms and cognitive function of patients,and the mechanism of impro-ving the curative effect may be related to the reduction of inflammation level.

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高泰嵩;叶军英;李宝玉;刘妍;.塞来昔布联合阿立哌唑治疗精神分裂症的疗效及其对患者血清炎症因子水平的影响[J].川北医学院学报,2025,40(10):1342-1345.

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  • 在线发布日期: 2025-11-03
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