FORTE JOURNAL Pub Date : 2022-07-31 DOI:10.51771/fj.v2i2.367
Vivi Asfianti, Alfi Syahfitri, Zuhairiah Nst
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摘要

在精神分裂症患者中使用抗精神病药物通常会引起锥体外综合征(EPS)形式的副作用,即出现不受控制的肌肉运动障碍,如癫痫发作、颤抖等。与非典型抗精神病药物相比,使用典型抗精神病药物的EPS发生率更高。本研究旨在了解2020年位于班达亚齐的亚齐精神病院精神分裂症住院患者中EPS的发病率。本研究的人群均为给予典型抗精神病药物的住院患者。而研究样本为2020年住院患者病历数据中收集的399个样本,因此研究采用横断面方法进行回顾性研究。以患者身份(性别、年龄)、药物治疗(典型抗精神病药物)和EPS发生率的形式收集数据。结果显示,2020年在亚齐精神病院住院的接受典型抗精神病治疗的精神分裂症患者中,男性324人(81.2%),女性75人(18.8%),年龄最大的是36-45岁,共计202人(50.6%)。典型抗精神病药物以典型-典型和典型-非典型药物的组合形式使用,即氯氮平-三氟哌嗪(40.6%)、氯丙嗪-利培酮(20.3%)、氟哌啶醇-氯丙嗪-三氟哌啶嗪(16%)、氟哌啶醇-氯丙嗪(7%)和氟哌啶醇-三氟哌啶嗪(5%)。发生的EPS发生率为113人(28.3%),其中氟哌啶醇-氯丙嗪-三氟哌嗪联合抗精神病治疗发生的EPS最多,为61人(15.3%)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
GAMBARAN KEJADIAN EKSTRAPIRAMIDAL SINDROM PADA PASIEN TERAPI ANTIPSIKOTIK TIPIKAL DI RUMAH SAKIT JIWA ACEH
The use of antipsychotics in schizophrenic patients often causes side effects in the form of Extra Pyramidal Syndrome (EPS), namely the presence of uncontrolled muscle movement disorders such as seizures, shaking and so on. The incidence of EPS is more common with the use of typical antipsychotics than atypicals. This study aims to see the incidence of EPS in inpatients with schizophrenia at the Aceh Mental Hospital located in Banda Aceh in 2020. The population in this study were all inpatients who were given typical antipsychotics. While the research sample was 399 samples collected from medical record data of inpatients in 2020, so the study was retrospective with a cross sectional approach. Data collected in the form of patient identity (gender, age), drug therapy (typical antipsychotics) and the incidence of EPS. The results showed that schizophrenic patients who received typical antipsychotic therapy who were hospitalized at the Aceh mental hospital in 2020, were 324 men (81.2%) and 75 women (18.8%), with the highest age range being at 36-45 years amounting to 202 people (50.6%). Typical antipsychotic therapy used in the form of combination of typical-typical and typical-atypical drugs, namely clozapine-trifluperazine (40.6%), chlorpromazine-risperidone (20.3%), haloperidol-chlorpromazine-trifluperazine (16%), haloperidolchlorpromazine (7%), and haloperidol-trifluperazine (5%). The incidence of EPS that occurred was 113 people (28.3%), with the highest number of EPS occurring from the administration of haloperidol-chlorpromazine-trifluperazine combination antipsychotic therapy, which was 61 people (15.3%).
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