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B型超声在检测氯氮平所致脂肪肝的应用价值研究     被引量:7

B Mode Ultrasonographic Study on the Diagnosis of Fatty Liver Caused by Colzapine

文献类型:期刊文献

中文题名:B型超声在检测氯氮平所致脂肪肝的应用价值研究

英文题名:B Mode Ultrasonographic Study on the Diagnosis of Fatty Liver Caused by Colzapine

作者:章锦伟[1];夏国园[2]

机构:[1]绍兴市第7人民医院B超室;[2]绍兴文理学院医学院

年份:2005

卷号:6

期号:5

起止页码:342

中文期刊名:中国超声诊断杂志

外文期刊名:Chinese Journal of Ultrasound Diagnosis

语种:中文

中文关键词:氯氮平;价值研究;B型超声;检测;用药时间;无脂肪肝患者;精神病用药;声像图;用药剂量;方法应用;长期服用;密切关系;长短;入院前;检出率;t检验;肝为

外文关键词:Fatty liver, Clozapine, Sonography.

中文摘要:目的本文是应用脂肪肝的声像图和氯氮平用药剂量时间长短,对检出脂肪肝与氯氮平用药时间长短剂量进行分析。方法应用超声对应用氯氮平时间长短与脂肪肝进行观察。结果在203名长期服用氯氮平, 入院前几乎无脂肪肝患者。从用药3个月被检出脂肪肝11例,其检出率为5.41%(11/203×100%)。从用药6个月时被检出脂肪肝为50.73%[103/203×100%]。从用药一年时被检出脂肪肝为81.28%(165/203×100%)。经t检验有非常显著差异(P<0.001),脂肪肝声像图越典型证明用药时间越长。结论脂肪肝声像图与氯氮平用药时间与剂量存在密切关系。给临床抗精神病用药提出了新的问题。

外文摘要:Objective To probe the relationship between the B mode sonography of fatty liver with the different Clozapine dosage and period. Methods The effect of Clozapine was evaluated with ultrasonography. Results A total of 203 cases who had no fatty liver diseases before, after 3 months Clozapine administration, 11 cases were confirmed to have fatty liver on B mode sonography. The rate was 5. 41% (11/203). After 6 months administration, the occurrance rate raised to 50. 75% (103/203). And 1 year later, 81.28% (165/203) of these cases were verified to be fatty liver. The more remarkable fatty liver the longer period of Clozapine administered, which is logistically proved by t test (P<0. 001). Conclusions There was close relationship between fatty liver sonographic manifcestations and Clozapine dosage and using period, which makes a trouble in clinical antipsychosis medicine treatment.

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