哈尔滨医药2024,Vol.44Issue(1) :32-34.DOI:10.3969/j.issn.1001-8131.2024.01.010

帕罗西汀联合米氮平对卒中后抑郁患者认知功能及HAMD评分的影响

Effects of Paroxetine Combined with Mirtazapine on Cognitive Function and HAMD Score in Patients with Poststroke Depression

孙晓净
哈尔滨医药2024,Vol.44Issue(1) :32-34.DOI:10.3969/j.issn.1001-8131.2024.01.010

帕罗西汀联合米氮平对卒中后抑郁患者认知功能及HAMD评分的影响

Effects of Paroxetine Combined with Mirtazapine on Cognitive Function and HAMD Score in Patients with Poststroke Depression

孙晓净1
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作者信息

  • 1. 南阳医学高等专科学校第一附属医院,河南 南阳 473000
  • 折叠

摘要

目的 探讨卒中后抑郁(PSD)患者采用帕罗西汀联合米氮平对其认知功能及汉密尔顿抑郁量表(HAMD)评分的影响.方法 本研究为一项前瞻性研究,采用随机数表法分为观察组(n=57 例)、对照组(n=56 例).对照组接受帕罗西汀治疗,观察组接受帕罗西汀联合米氮平治疗.两组均持续治疗 6 周,对比两组认知功能[采用威斯康星卡片分类测验(WCST)评估]、HAMD评分及不良反应.结果 治疗后,两组WCST各项评分均改善,观察组各项评分均优于对照组(P<0.05);治疗后,两组HAMD评分均下降,观察组低于对照组(P<0.05);两组不良反应对比(P>0.05).结论 帕罗西汀联合米氮平能够有效改PSD善患者认知功能及抑郁程度.

Abstract

Objective To investigate the effects of paroxetine combined with Mirtazapine on cognitive function and Hamilton Depression Scale(HAMD)score in patients with poststroke depression(PSD).Methods This was a prospective study.113 patients with poststroke depression were enrolled in this study.They were divided into observation group(n=57 cases)and control group(n=56 cases)by random number table.The control group received paroxetine treatment,and the observation group received paroxetine combined with mirtazapine treatment.Cognitive function[as assessed by Wisconsin card Sorting Test(WC-ST)],HAMD score and adverse effects were compared between the two groups.Results After treatment,WCST scores of both groups were improved,and scores of observation group were better than control group(P<0.05).After treatment,HAMD scores in both groups were decreased,and the observation group was lower than the control group(P<0.05).The adverse reactions of the two groups were compared(P>0.05).Conclusion Paroxetine combined with mirtazapine can effectively improve cognitive function and depression in patients with PSD.

关键词

卒中抑郁/帕罗西汀/米氮平/认知功能/抑郁程度

Key words

stroke depression/Paroxetine/Mirtazapine/Cognitive function/Degree of depression

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出版年

2024
哈尔滨医药
哈尔滨市医学会

哈尔滨医药

影响因子:0.697
ISSN:1001-8131
参考文献量15
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