针刺联合奥氮平治疗精神分裂症疗效观察及对炎性因子、氧化应激的影响
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Curative Effect of Acupuncture Combined with Olanzapine on Schizophrenia and Its Effect on Inflammatory Factors and Oxidative Stress
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    摘要:

    目的:观察针刺联合奥氮平治疗精神分裂症的疗效及对炎性因子、氧化应激的影响。方法:选取 84 例精神分裂症患者,按随机数字表法分为对照组及观察组各42 例。对照组采用奥氮平治疗,观察组采用针 刺联合奥氮平治疗。比较2 组临床疗效,比较2 组治疗前后阴性和阳性症状量表(PANSS) 评分、临床记忆量 表(CMS) 评分、炎症因子[肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)、白细胞介素-10(IL-10)] 及氧化应激[丙二醛(MDA)、超氧化物歧化酶(SOD)] 水平的变化。结果:治疗后,观察组总有效率为 95.24%,对照组为76.19%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组PANSS 评分、CMS 评分 均较治疗前下降(P<0.05),观察组PANSS 评分、CMS 评分均低于对照组(P<0.05)。治疗后,2 组TNF-α、 IL-1β 水平均较治疗前下降(P<0.05),IL-10 水平均较治疗前升高(P<0.05);观察组TNF-α、IL-1β 水平 均低于对照组,IL-10 水平高于对照组(P<0.05)。治疗后,2 组MDA 水平均较治疗前下降(P<0.05),SOD 水平均较治疗前上升(P<0.05);观察组MDA 水平低于对照组(P<0.05),SOD 水平高于对照组(P<0.05)。 结论:针刺联合奥氮平治疗精神分裂症可提高临床疗效,缓解症状,对炎性因子及氧化应激水平有调节作用。

    Abstract:

    Abstract: Objective: To observe the curative effect of acupuncture combined with Olanzapine on schizophrenia and its effect on inflammatory factors and oxidative stress. Methods:A total of 84 cases of patients with schizophrenia were selected and divided into the control group and the observation group according to the random number table method,with 42 cases in each group. The control group was treated with Olanzapine, and the observation group was treated with acupuncture combined with Olanzapine. Clinical effects were compared between the two groups. The changes in the scores of Positive and Negative Syndrome Scale (PANSS) and Clinical Memory Scale (CMS), as well as the levels of inflammatory factors [tumor necrosis factor-α (TNF-α),interleukin-1β (IL-1β),and interleukin-10 (IL-10)] and oxidative stress [malondialdehyde (MDA) and superoxide dismutase (SOD)] were compared between the two groups before and after treatment. Results:After treatment,the total effective rate was 95.24% in the observation group and 76.19% in the observation group, the difference being significant (P<0.05). After treatment, the scores of PANSS and CMS in the two groups were decreased when compared with those before treatment (P<0.05), and the two scores in the observation group were lower than those in the control group (P< 0.05). After treatment,the levels of TNF-α and IL-1β in the two groups were decreased when compared with those before treatment (P<0.05), and the IL-10 levels were increased when compared with those before treatment (P<0.05);the levels of TNF-α and IL-1β in the observation group were lower than those in the control group (P<0.05), and the IL-10 level in the observation group was higher than that in the control group (P<0.05). After treatment, the MDA levels in the two groups were decreased when compared with those before treatment (P<0.05),and the SOD levels were increased when compared with those before treatment (P<0.05);the MDA level in the observation group was lower than that in the control group (P<0.05),and the SOD level in the observation group was higher than that in the control group (P< 0.05). Conclusion:Acupuncture combined with Olanzapine for schizophrenia can enhance clinical effect and relieve symptoms,with a regulatory effect on inflammatory factors and oxidative stress levels.

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门少杰,刘旭.针刺联合奥氮平治疗精神分裂症疗效观察及对炎性因子、氧化应激的影响[J].新中医,2024,56(1):169-173

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  • 在线发布日期: 2024-01-16
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