首页|帕罗西汀对伴抑郁的肿瘤患者的效果

帕罗西汀对伴抑郁的肿瘤患者的效果

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目的 探讨肿瘤合并抑郁患者应用帕罗西汀治疗对其心理情绪、精神状态的影响.方法 于2022年3月~2023年3月采集病例资料入档,对象为收治的肿瘤合并抑郁患者,共计纳入96例,纳入对象基于"随机数字表法"分组,划分为对照组与观察组,分别予以阿米替林与帕罗西汀治疗,各组48例;观察对比两组抑郁程度、精神状态、睡眠质量、生存质量、不良反应发生率.结果 治疗后,两组焦虑自评量表(Self-Rating Anxiety Scale,SAS)评分、抑郁自评量表(Self-rating depression scale,SDS)评分均有不同程度降幅,且观察组降幅较对照组大(P<0.05);治疗后,两组症状自评量表(SCL-90)评分均显著下降,且观察组较对照组更低(P<0.05);治疗后,观察组匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评分明显低于对照组(P<0.05);治疗后,观察组癌症患者生命质量测定量表(EORTC QLQ-C30)评分较对照组更优(P<0.05);观察组不良反应率较对照组低,但组间对比无差异(P>0.05).结论 肿瘤合并抑郁患者应用帕罗西汀治疗,可有效改善患者抑郁状态,提高睡眠质量,取得良好预后.
The effect of paroxetine in cancer patients with depression
Objective To explore the impact of using paroxetine therapy on the psychological,emotional,and mental states of patients with tumor associated depression.Methods The case data were collected and filed from March 2022 to March 2023.Totally 96 cases of tumor patients with depression were included.The included subjects were di-vided into control group and observation group based on the"random number table method",and were treated with Amitriptyline and Celeste respectively,with 48 cases in each group.The degree of depression,mental state,sleep quality,quality of life,and incidence of adverse reactions between the two groups were compared.Results After treatment,the scores of Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)decreased to vary-ing degrees in both groups,and the observed group showed a greater decrease than the control group(P<0.05).After treatment,the symptom checklist 90(SCL-90)scores of both groups significantly decreased,and the observation group was lower than the control group(P<0.05).After treatment,the score of Pittsburgh Sleep Quality Index(PSQI)in the observation group was significantly lower than that in the control group(P<0.05).After treatment,the EORTC QLQ-C30 score of cancer patients in the observation group was better than that in the control group(P<0.05).The incidence of adverse reactions in the observation group was significantly lower than that in the control group,but there was no difference between the groups(P>0.05).Conclusion The treatment of cancer patients with depression using paroxetine can effectively improve their depressive state,improve sleep quality,and achieve a good prognosis.

ParoxetineTumor patientsDepressionClinical effects

柳浩然、王建华、李甲、王鑫、王锦辉

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唐山市人民医院(唐山,063000)

帕罗西汀 肿瘤患者 抑郁症 临床效果

河北省医学科学研究课题计划

20191621

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(1)
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