寇泽刚. 阿立哌唑、喹硫平和利培酮对精神分裂症患者甲状腺素水平的影响[J]. 蚌埠医科大学学报, 2015, 40(9): 1184-1185,1188. DOI: 10.13898/j.cnki.issn.1000-2200.2015.09.013
    引用本文: 寇泽刚. 阿立哌唑、喹硫平和利培酮对精神分裂症患者甲状腺素水平的影响[J]. 蚌埠医科大学学报, 2015, 40(9): 1184-1185,1188. DOI: 10.13898/j.cnki.issn.1000-2200.2015.09.013
    KOU Ze-gang. Effect of azole,quetiapine and risperidone on the level of thyroid hormone in patients with schizophrenia[J]. Journal of Bengbu Medical University, 2015, 40(9): 1184-1185,1188. DOI: 10.13898/j.cnki.issn.1000-2200.2015.09.013
    Citation: KOU Ze-gang. Effect of azole,quetiapine and risperidone on the level of thyroid hormone in patients with schizophrenia[J]. Journal of Bengbu Medical University, 2015, 40(9): 1184-1185,1188. DOI: 10.13898/j.cnki.issn.1000-2200.2015.09.013

    阿立哌唑、喹硫平和利培酮对精神分裂症患者甲状腺素水平的影响

    Effect of azole,quetiapine and risperidone on the level of thyroid hormone in patients with schizophrenia

    • 摘要: 目的:探讨不同药物治疗对精神分裂症患者甲状腺素水平的影响。方法:将120例精神分裂症患者随机分为A、B、C组,阿立哌唑治疗者为A组,喹硫平治疗者为B组,利培酮治疗者为C组,每组40例。对比3组治疗前、治疗1个月后甲状腺素水平变化。结果:3组治疗前三碘甲状腺原氨酸(T3)、四碘甲状腺原氨酸(T4)、游离三碘甲状腺原氨酸(FT3)及游离四碘甲状腺原氨酸(FT4)差异均无统计学意义(P>0.05),治疗1个月后,3组T3、T4、FT3及FT4均明显下降(P<0.01),且均以B组水平最低(P<0.01),A组FT3下降程度明显低于C组(P<0.01),而A组与C组T3、T4和FT4降低程度差异均无统计学意义(P>0.05)。结论:阿立哌唑、喹硫平和利培酮均可降低精神分裂症患者的甲状腺素水平,且以喹硫平降低最为明显。

       

      Abstract: Objective:To explore the effects of different drug therapy on the thyroid hormone level in patients with schizophrenia.Methods:One hundred and twenty patients with schizophrenia were randomly divided into group A(treatment with azole),group B(treatment with quetiapine) and group C(treatment with risperidone)(40 cases each group).The thyroid hormone levels in 3 groups between before treatment and after 1 month of treatment were compared.Results:The differences of the levels of three iodine thyroid glycine(T3),four iodine glycine(T4),free three iodine thyroid original glycine(FT3) and free iodine thyroid original glycine(FT4) between 3 groups before treatment were not statistically significant(P>0.05).After 1 month of therapy,the levels of T3,T4,FT3 and FT4 in 3 groups obviously decreased(P<0.01),and the lowest in group B(P<0.01),the level of FT3 in group A was significantly lover than group C(P<0.01),and the differences of whose between group A and group C were not statistically significant(P>0.05).Conclusions:Azole,quetiapine and risperidone can reduce the thyroid hormone level in patients with schizophrenia,and the decreasing degree in patients treated with quetiapine is the most obviously.

       

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