精神分裂症患者补充欧米伽-3 脂肪酸的治疗优势--系统综述

Srilaxmi Vityala, Krishna Priya Kanteti, Yethindra Vityala, T. Tagaev, Ujwala Damineni
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摘要

引言和目的。研究发现,在精神分裂症患者中,ω-3(n-3)多不饱和脂肪酸(PUFAs)治疗可改善抗精神病药物引起的心血管、代谢和炎症问题,甚至可减少 20% 的药物治疗需求。在本研究中,我们对精神分裂症患者补充 n-3 PUFA 的潜在治疗效果进行了评估。材料与方法。本系统综述遵循 PRISMA 指南。对 Embase、MEDLINE、Web of Science 和 Google Scholar 数据库进行了电子检索。第一次检索共获得 50 篇论文。随后,删除了不符合我们资格要求的 43 篇文献,并从中筛选出 7 篇文章。文献分析。分析表明,在作为抗精神病药物的辅助治疗时,补充 n-3 PUFA 和安慰剂组都能减轻患者的精神病(PANSS 和 GAF 量表)和卡尔加里抑郁量表症状,并提高患者的功能能力(GAF)。在作为单一疗法与代谢抗氧化剂一起使用时,补充 n-3 PUFA 被证明对治疗精神分裂症有益。在精神分裂症患者中,n-3 PUFAs 作为药物的辅助疗法具有治疗效果,但不同的变量或患者群体并不相同。结论在许多研究中,接受 n-3 PUFA 补充剂治疗的慢性精神分裂症患者的临床状况没有得到改善。
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Therapeutic advantages of omega-3 fatty acid supplementation in patients with schizophrenia – a systematic review
Introduction and aim. In patients with schizophrenia, omega-3 (n-3) polyunsaturated fatty acids (PUFAs) treatment was found to ameliorate the cardiovascular, metabolic, and inflammatory problems caused by antipsychotic medication and even reduce the need for medication by 20%. In this study, we evaluated the potential therapeutic effects of n-3 PUFA supplementation in patients with schizophrenia. Material and methods. The PRISMA guidelines were followed in conducting this systematic review. The Embase, MEDLINE, Web of Science, and Google Scholar databases were searched electronically. The first search yielded 50 papers in total. Subse quently, 43 publications that did not meet our eligibility requirements were removed, and seven articles were selected. Analysis of the literature. The analysis showed that n-3 PUFA supplementation and the placebo group both decreased their psychotic (PANSS and GAF scales) and Calgary Depression Scale symptomatology and boosted their functional ability (GAF) when used as an adjuvant to antipsychotic medication. When administered as a monotherapy with a metabolic antioxidant, n-3 PUFA supplementation proved beneficial for treating schizophrenia. In patients with schizophrenia, n-3 PUFAs have thera peutic benefits as adjuvant treatments to medications, although not for different variables or patient groups. Conclusion. In many studies, patients with chronic schizophrenia who received n-3 PUFA supplementation showed no improvement in their clinical condition.
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