青霉素与头孢曲松钠治疗伴有精神症状的神经梅毒的临床疗效比较。

World journal of psychiatry and mental health research Pub Date : 2022-01-01 Epub Date: 2021-11-30
Shibin Wang, Wenming Gu, Yuping Cao, Hangxiao Zheng, Lei Zhang, Xiaoyun Guo, Wenzhong Chen, Xingguang Luo
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引用次数: 0

摘要

目的:比较青霉素与头孢曲松钠治疗伴有精神症状的神经梅毒的临床疗效。方法:将50例伴有精神症状的神经梅毒患者随机分为青霉素组(400万单位,Q4h)和头孢曲松钠组(1 g, Q12h)。总处理时间分别为14 d和15 d。以日常生活活动量表(ADL)、简易精神病学评定量表(BPRS)和简易精神状态检查量表(MMSE)作为生活能力、精神症状和认知功能效率的衡量指标。结果:青霉素组与头孢曲松钠治疗组ADL、MMSE、BPRS比较,差异均无统计学意义(p > 0.05)。治疗后,BPRS和ADL评分较基线下降,MMSE评分较基线上升,主要有时间效应(F=31.098,F=26.342,F= 79.916;P < 0.05)。结论:青霉素或头孢曲松钠对伴有精神症状的神经梅毒患者的精神症状、认知功能和生活能力均有改善作用。
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Comparison of the clinical efficacy of penicillin and ceftriaxone sodium in the treatment of neurosyphilis with psychiatric symptoms.

Objective: To compare the clinical efficacy of penicillin and ceftriaxone sodium in the treatment of neurosyphilis with psychiatric symptoms.

Methods: 50 neurosyphilis with mental symptoms patients were randomly divided into penicillin group (4 million units, Q4h) and ceftriaxone sodium group (1 g, Q12h). The total treatment time was 14 and 15 days respectively.The activity of daily living scale (ADL), brief psychiatric rating scale (BPRS) and mini-mental state examination (MMSE) were scored as the measurement of efficiency in living ability, mental symptoms and cognitive function.

Result: There were no significant differences in ADL, MMSE and BPRS between the penicillin group and the ceftriaxone sodium treatment group (p > 0.05). After treatment, the score of BPRS and ADL decreased from baseline, while MMSE scores increased from baseline, having a main time effect (F=31.098,F=26.342,F= 79.916; p < 0.05).

Conclusion: Penicillin or ceftriaxone sodium are both effective in the aspect of mental symptoms, cognitive function and life ability among neurosyphilis with psychiatric symptoms patients.

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