首页|帕罗西汀、坦度螺酮联用对焦虑抑郁共病患者认知和社会功能的影响

帕罗西汀、坦度螺酮联用对焦虑抑郁共病患者认知和社会功能的影响

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目的 探讨帕罗西汀、坦度螺酮联用对焦虑抑郁共病患者认知和社会功能的影响。方法 按照随机数字表法将本院2021年2月~2022年2月于收治的80例焦虑抑郁共病患者分为对照组(帕罗西汀治疗)和联合组(帕罗西汀+坦度螺酮治疗),每组各40例;对比两组,治疗前后焦虑抑郁状态和临床总体印象量表(CGI),认知功能、生活质量和社会功能变化情况。结果 两组临床治疗效果比较,联合组高于对照组(P<0。05);治疗后,联合组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分及CGI评分均低于对照组和治疗前(P<0。05);治疗后,联合组个体和社会功能量表(PSPCHN)评分、健康调查问卷量表(SF-36)评分均高于对照组和治疗前(P<0。05);治疗后,联合组事件相关电位N1、N2、P2、P3波潜伏期均低于对照组和治疗前(P<0。05);联合组波幅均高于对照组和治疗前(P<0。05)。结论 帕罗西汀、坦度螺酮联用对焦虑抑郁共病患者治疗效果显著,可缓解焦虑、抑郁状态,改善认知功能,提升生活质量和社会功能。
Effects of paroxetine combined with tandospirone on cognitive and social functions in patients with co-morbidity of anxiety and depression
Objective To explore the effect of paroxetine combined with tandospirone on cognitive and social functions in patients with comorbidity of anxiety and depression.Methods According to the method of random number table,80 patients with comorbidities of anxiety and depression admitted in our hospital from February 2021 to Feb-ruary 2022 were divided into control group(paroxetine treatment)and combination group(paroxetine+tandospirone treatment),with 40 patients in each group;The clinical treatment effects of the two groups were compared,including the anxiety and depression status,clinical general impression scale(CGI),cognitive function,quality of life health questionnaire and social function changes before and after treatment.Results The clinical treatment effect of the two groups was higher in the combined group than in the control group(P<0.05).After treatment,the scores of Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)and CGI in the combined group were lower than those in the control group and before treatment(P<0.05).After treatment,the scores of PSPCHN and SF-36 in the combined group were higher than those in the control group and before treatment(P<0.05).After treatment,the latency of N1,N2,P2 and P3 waves in the combined group was lower than that in the control group and before treatment(P<0.05).The wave amplitude of the combined group was higher than that of the control group and before treatment(P<0.05).Conclusion The combination of paroxetine and tandospirone has a significant therapeutic effect on patients with anxi-ety and depression comorbidities.It can relieve anxiety and depression,improve cognitive function,improve quality of life and social function.

ParoxetineTandospironeComorbidity of anxiety and depressionCognitive functionSocial func-tionQuality of life

杨慧

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宜昌市优抚医院精神科(宜昌,443000)

帕罗西汀 坦度螺酮 焦虑抑郁共病 认知功能 社会功能 生活质量

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(6)