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目的:探讨中西医结合治疗精神分裂症患者的疗效及对生活质量和认知功能的影响。方法:将114例精神分裂症患者随机分为对照组和治疗组各57例。对照组口服利培酮片,治疗组在对照组治疗基础上结合中医辨证治疗,两组均连续服药2个月。比较两组疗效、治疗前后生活质量和认知功能评分变化及不良反应情况等。结果:治疗组总有效率为93.0%,显著高于对照组的79.0%(P<0.05);治疗后治疗组心理健康、躯体健康、物质生活和社会功能评分显著高于治疗前水平和对照组治疗后水平(P<0.05);治疗后治疗组认知功能总分为(41.86±9.16)分,显著低于对照组(54.72±8.59)分(P<0.05);治疗组总不良反应率为45.6%,显著低于对照组的68.4%(P<0.05)。结论:利培酮片结合中医辨证治疗精神分裂症能提高利培酮片疗效,对患者生活质量和认知功能改善优于利培酮片,且不良反应少。
Objective: To explore the efficacy of traditional Chinese and western medicine in treating patients with schizophrenia and its impact on quality of life and cognitive function. Methods: One hundred and fourteen patients with schizophrenia were randomly divided into control group and treatment group. The control group oral risperidone tablets, the treatment group in the control group based on the combination of traditional Chinese medicine treatment, two groups were taking 2 consecutive months. The curative effects of both groups were compared before and after treatment, quality of life and cognitive function score changes and adverse reactions. Results: The total effective rate in the treatment group was 93.0%, which was significantly higher than that in the control group (79.0%, P <0.05). After treatment, the scores of mental health, physical health, physical life and social function in the treatment group were significantly higher than those in the control group After treatment, the total score of cognitive function in treatment group was (41.86 ± 9.16) points, which was significantly lower than that in control group (54.72 ± 8.59) (P0.05). The total adverse reaction rate in treatment group was 45.6%, which was significantly lower than that of the control group (68.4%, P <0.05). Conclusion: The combination of risperidone tablets and traditional Chinese medicine for the treatment of schizophrenia can improve the efficacy of risperidone tablets, improve the quality of life and cognitive function of patients better than risperidone tablets, and less adverse reactions.