Curative effect and influence on quality of life of aripiprazole combined music therapy in treatment of schizophrenia
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摘要: 目的 探讨阿立哌唑联合音乐疗法应用于精神分裂症的疗效及对患者生活质量的影响。 方法 选取2012年1月—2014年1月间收治的170例精神分裂症后抑郁患者,将其随机分为观察组及对照组,每组85例,观察组采用阿立哌唑联合音乐疗法,对照组仅给予阿立哌唑药物疗法,比较2组患者治疗前和治疗后4、12、24周阳性与阴性症状量表(PANSS)、汉密尔顿抑郁量表(HAMD)、临床大体印象量表(CGI-SI)及生活质量量表(QOL-100)的评分情况。 结果 2组患者治疗前的PANSS总分、阴性症状评分、阳性症状评分以及一般病理评分比较差异无统计学意义(P>0.05)。治疗后12周末以及24周末2组患者的PANSS总分、阴性症状评分、阳性症状评分以及一般病理评分与治疗前以及治疗后4周相比差异有统计学意义,且观察组患者改善的程度更加明显,组间比较差异具有统计学意义(P<0.05)。2组患者治疗前的HAMD评分以及CGI-SI评分比较差异无统计学意义(P>0.05)。观察组在治疗后12周末以及24周末HAMD评分以及4周末CGI-SI评分均明显优于对照组(P<0.05)。与治疗前相比,2组治疗后的分值均明显优于治疗前(P<0.05)。2组患者治疗前的QOL-100评分差异无统计学意义(P>0.05),治疗24周后2组的评分均较治疗前明显改善(P<0.05),且观察组明显优于对照组(P<0.05)。 结论 阿立哌唑联合音乐疗法应用于精神分裂症后抑郁患者的治疗可以起到很好的治疗效果,改善患者的临床症状、精神状态以及生活质量,值得临床推广应用。Abstract: Objective To study the curative effect and influence on quality of life of aripiprazole combined with music therapy in the treatment of patients with schizophrenia and depression. Methods Total 170 cases of schizophrenia with depression in our hospital between January 2012 and January 2014 were recruited randomly divided into observation group and control group with 85 cases in each group.The observation group received aripiprazole combined with music therapy,while the control group received aripiprazole therapy.The positive and negative symptoms scale(PANSS),Hamilton depression scale(HAMD),clinical general impression scale(CGI-SI) and the quality of life scale score(QOL-100) between the two groups were compared before the treatment and 4,12,24 weeks after the treatment. Results The PANSS scores,negative symptom scores,positive symptom scores and general pathological score of both groups before the treatment had no significant difference(P>0.05).PANSS scores,negative symptom scores,positive symptom scores and general pathology score for 12 weeks and 24 weeks after the treatment in the two groups as compared with before and 4 weeks after treatment was statistically significant,and the improvement in the observation group was more obvious,the comparison between the two groups with statistical significance(P<0.05).HAMD scores and CGI-SI score in both groups before the treatment had no significant difference(P>0.05).HAMD score in the observation group for 12 and 24 weeks after the treatment and CGI-SI score 4 weeks after the treatment were significantly better than that of the control group(P<0.05).When compared with before treatment,the scores of both groups after the treatment were significantly better,the difference was statistically significant between groups(P<0.05).Before the treatment,QOL-100 score had no statistically significant difference between the two groups(P>0.05),24 weeks after the treatment the scores of both groups were all obviously improved than that before the treatment(P<0.05),and the observation group was better than the control group(P<0.05). Conclusion Aripiprazole combined with music therapy for patients with schizophrenia and depression is effective and can obviously improve the clinical symptoms,mental status and quality of life of patients,and is worth popularization and application in the clinical practice.
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Key words:
- Aripiprazole /
- Music therapy /
- Schizophrenia /
- Depression
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