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抗精神病药长效针剂社区应用专家共识

Expert consensus on long-acting injectable application in community

中文摘要英文摘要

精神分裂症是一种慢性、高复发性和高致残性的精神病性障碍。提高患者治疗依从性、预防复发是精神分裂症治疗的关键,也是决定患者预后和社会功能改善程度的核心因素。抗精神病药长效针剂(后文简称长效针剂)作为精神分裂症治疗、预防复发的重要手段,被国内外指南/共识推荐为精神分裂症全病程治疗的首选方式之一。同时,社区作为精神分裂症康复的重要环境场所,近年来陆续开展了一系列社区管理模式的探索。目前,国内多个管理政策及文件强调在社区精神分裂症管理中应用长效针剂,但是社区医生对长效针剂知识和应用技能不足,从一定程度上影响了长效针剂在社区的应用,成为患者全面康复的瓶颈之一。在中华医学会精神医学分会精神分裂症协作组的组织下,联合中华医学会全科医学分会,由13位精神科及全科医学专家组成了本共识专家组,基于循证医学证据、国内外指南与共识、专家经验、我国社区的特征,解决社区长效针剂使用中面临的医学相关问题,以期提高精神分裂症患者用药依从性,改善患者预后。

Schizophrenia is a chronic, recurrent and disabling psychotic disorder.??Improving patients' adherence and preventing relapse are key factors in the treatment of schizophrenia, as well as the core factors to determine patients' prognosis and social function recovery.?Long-acting injectable (LAI) is an important treatment and recurrent prevention of schizophrenia, which is recommended by guidelines/consensus as one of the preferred treatment methods for the all schizophrenia.??At the same time, community as an important site for the rehabilitation of schizophrenia, some community management models have been carried out recently.??At present, a series of policies and documents stressed the application of LAI in the management of schizophrenia in community. However, some community mental health workers are lack of experience and application skills of LAI, which affects the application of LAI in the community and become one of the bottlenecks for the rehabilitation of patients.?Therefore, under the organization of the Chinese Schizophrenia Coordination Group and Chinese Society of General Practice, 13 experts formed the expert group members of this consensus, which based on the evidence-based medical suggestion, domestic and international guidelines and consensus, experts experience and the characteristics of Chinese community. This consensus is expected to solve medical problems in the community LAI application and improve patients compliance and prognosis of schizophrenia.

中华医学会精神医学分会精神分裂症协作组、中华医学会全科医学分会

10.12074/202207.00180V1

神经病学、精神病学

精神分裂症抗精神病药长效针剂社区管理

SchizophreniaLong-acting injectableCommunity management

中华医学会精神医学分会精神分裂症协作组,中华医学会全科医学分会.抗精神病药长效针剂社区应用专家共识[EB/OL].(2022-07-22)[2025-08-02].https://chinaxiv.org/abs/202207.00180.点此复制

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