氨磺必利对青少年精神分裂症患者社会功能和神经认知的影响

Effect of amisulpride on social function and neurocognition of adolescents with schizophrenia

  • 摘要:
      目的  探讨氨磺必利对青少年精神分裂症患者社会功能和神经认知的影响。
      方法  纳入45例门诊或住院的青少年精神分裂症患者,均采用单一氨磺必利治疗,分别于治疗前及治疗4、8、12周时采用阳性和阴性症状量表(PANSS)、住院精神患者社会功能评定量表(SSPI)以及重复性成套神经心理状态测试量表(RBANS)评估患者的精神症状、社会功能和认知表现,其中4例患者因不耐受或疗效不佳而退出本研究,最终共41例患者完成本研究。根据根据患者发病情况将其分为首发组和复发组。观察2组社会功能、认知功能和精神症状的变化,并比较不同时点首发组和复发组的注意功能。
      结果  治疗后,41例患者PANSS和SSPI评分降低,RBANS(除视觉广度)分数升高,且首发患者注意功能评分高于复发患者,差异有统计学意义(P < 0.01)。
      结论  氨磺必利能显著改善青少年精神分裂症患者的精神症状、社会功能及认知表现。首发患者认知功能预后优于复发患者。

     

    Abstract:
      Objective  To explore effect of amisulpride on social function and neurocognition of adolescents with schizophrenia.
      Methods  Forty-five outpatients or inpatients with adolescent schizophrenia were enrolled and treated with amsulfamide alone. Psychiatric symptoms, social functioning, and cognitive performance were assessed by Positive and Negative Symptom Scale (PANSS), Scale of Social Function in Psychosis Inpatients (SSPI), and Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) scale before treatment and at 4, 8, and 12 weeks, respectively. Among them, 4 patients withdrew from the study due to intolerance or poor efficacy, and a total of 41 patients completed the study. According to the occurrence of disease, these patients were divided into first-episode group and recurrence group. The changes of social function, cognitive function and psychiatric symptoms were observed in the two groups, and the attention function of the first-episode group and the recurrence group was compared at different time points.
      Results  PANSS and SSPI scores of 41 patients decreased significantly after treatment, RBANS (except visual span) scores increased significantly, and the attention function scores of the first-episode patients were significantly higher than those of recurrent ones(P < 0.05).
      Conclusion  Amisulpride can significantly improve the mental symptoms, social function and cognitive performance of adolescents with schizophrenia. The prognosis of cognitive function in the first-episode patients is better than that in the recurrent patients.

     

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