Thực trạng điều trị rối loạn phân liệt cảm xúc loại trầm cảm

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Tác giả: Minh Tâm Dương, Nguyễn Ngọc Trần

Ngôn ngữ: Vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam) 2022

Mô tả vật lý: 131-136

Bộ sưu tập: Metadata

ID: 409106

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Tìm hiểu thực trạng điều trị rối loạn phân liệt cảm xúc loại trầm cảm ở người bệnh điều trị nội trú tại Viện Sức khỏe Tâm thần - bệnh viện Bạch Mai. Đây là một nghiên cứu sử dụng phương pháp mô tả cắt ngang, thực hiện trên 40 người bệnh được chẩn đoán rối loạn phân liệt cảm xúc loại trầm cảm theo tiêu chuẩn chẩn đoán của ICD - 10 (F25.1). Kết quả cho thấy người bệnh rối loạn phân liệt cảm xúc có tuổi trung bình là 30,3±8,2 tuổi, thường xuất hiện ở nữ giới hơn nam giới và tỉ lệ nữ / nam ≈ 1,4 /1. Trong các thuốc an thần kinh, risperidone được sử dụng nhiều nhất (60,0%). Trong các thuốc chống trầm cảm, sertraline được sử dụng nhiều nhất (90,0%) với liều trung bình cao nhất là 125 ± 52,8mg/ngày. Có 5 người bệnh được điều trị bằng valproat (12,5%), liều cao nhất trung bình khoảng 1100 ± 223,6 mg/ngày. Diazepam (thuốc bình thần) cũng thường xuyên được sử dụng (87,5%). Có 100% người bệnh được điều trị bằng các thuốc an thần kinh kết hợp với một hoặc nhiều loại thuốc khác. Phần lớn người bệnh được điều trị nội trú trong thời gian từ 2-4 tuần (60,0%). Số ngày điều trị trung bình là 20,6 ± 9,3 ngày, ngắn nhất là 6 ngày và dài nhất là 46 ngày., Tóm tắt tiếng anh, We carried out a study with the aim of finding out the status of treatment for schizoaffective disorder with depressive type in inpatients at the Institute of Mental Health - Bach Mai hospital. This is a cross-sectional descriptive study with 40 patients diagnosed with schizoaffective disorder according to ICD-10 diagnostic criteria (F25.1). The results showed that the average age of patients with schizoaffective disorder was 30.3±8.2 years, more common in women than in men, and the female/male ratio ≈ 1.4/1. Among the neuroleptics, risperidone was the most used (60.0%). Among antidepressants, sertraline was used the most (90.0%) with the highest mean dose 125 ± 52.8 mg/day. There were 5 patients treated with valproate (12.5%), the average highest dose was about 1100 ± 223.6 mg/day. Diazepam (a sedative) is also frequently used (87.5%). 100% of patients were treated with neuroleptics in combination with one or more other drugs. The majority of patients received inpatient treatment for 2-4 weeks (60.0%). The average number of treatment days was 20.6 ± 9.3 days, the shortest was 6 days and the longest was 46 days.

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