由于抗精神病剂的心血管变化在精神分裂症第一期患者中
T O Iyidobi1, T C Iyidobi2, A C Ndukuba1
1Department of Psychological Medicine, University of Nigeria Teaching Hospital, Ituku/Ozalla, Nigeria.
Nigerian journal of clinical practice
|April 11, 2025
概括
抗精神病药物显著增加精神分裂症患者的心血管风险. 与非典型抗精神病药物相比,典型抗精神病药物对血压和心电图的影响更大,需要定期监测.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 抗精神病药物与精神分裂症患者心血管疾病风险增加有关.
- 使用的抗精神病药物的类型可以加剧这些心血管效应.
研究的目的:
- 研究精神分裂症患者抗精神病药物诱导的心血管变化.
- 这项研究是在尼日利亚埃努古州的三级医院进行的.
主要方法:
- 一项涉及64名精神分裂症住院患者的前性分析研究.
- 查使用小型国际神经精神病学面试 (MINI) 进行.
- 心血管指数在基线,1个月和3个月使用问卷和表格进行评估.
主要成果:
- 从基线到抗精神病药物开始后3个月观察到系统血压 (SBP),QRS持续时间和PR间隔的显著增加.
- 与非典型抗精神病药物相比,典型抗精神病药物对SBP和P波轴有更大的显著影响.
- 参与者的平均年龄为32.41±7.33岁,其中78.1%服用非典型抗精神病药物.
结论:
- 抗精神病药物导致开始后心血管指数增加.
- 典型的抗精神病药物比非典型的抗精神病药物显著提高SBP和ECG的P波轴.
- 建议定期监测心血管指数,特别是在使用非典型抗精神病药时.
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