首页|盐酸丁螺环酮在阿尔茨海默病合并抑郁、焦虑障碍患者治疗中应用的临床价值研究

盐酸丁螺环酮在阿尔茨海默病合并抑郁、焦虑障碍患者治疗中应用的临床价值研究

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目的 探讨盐酸丁螺环酮用于阿尔茨海默病合并抑郁、焦虑障碍患者治疗中的效果.方法 方便选取2022年8月—2023年10月聊城市第四人民医院收治的76例阿尔茨海默病合并抑郁、焦虑障碍患者为研究对象.以随机数表法将患者分为两组,每组38例.参照组应用盐酸舍曲林分散片治疗,研究组在参照组基础上联合应用盐酸丁螺环酮片治疗.比较两组患者的血清生化指标、抑郁、焦虑障碍程度、不良反应发生情况.结果 治疗后,研究组的血清生化指标改善情况优于参照组,差异有统计学意义(P<0.05);研究组康奈尔痴呆抑郁量表评分为(4.48±0.37)分,低于参照组,差异有统计学意义(t=15.742,P<0.05);研究组的汉密顿焦虑量表评分、抑郁自评量表评分均低于参照组,差异有统计学意义(P均<0.05).两组的不良反应发生率相比,差异无统计学意义(P>0.05).结论 盐酸丁螺环酮的应用,对改善阿尔茨海默病合并抑郁、焦虑障碍患者病情具有重要意义,能够减轻患者焦虑与抑郁障碍程度,并且不会增加不良反应,可加快相关异常血清指标的恢复速度.
Clinical Value of Buspirone Hydrochloride in the Treatment of Patients with Alzheimer's Disease Complicated with Depression and Anxiety Disor-der
Objective To investigate the effect of buspirone hydrochloride in the treatment of patients with Al-zheimer's disease complicated with depression and anxiety disorder.Methods A total of 76 patients with Alzheimer's disease combined with depression and anxiety disorder admitted to the Fourth People's Hospital of Liaocheng City from August 2022 to October 2023 were conveniently selected as the study objects.The patients were divided into two groups by random number table method with 38 cases in each group.Sertraline hydrochloride dispersive tablets were used in the reference group,and buspirone hydrochloride was used in the study group on basis of the reference group.The serum biochemical indexes,the degree of depression and anxiety disorder,and the occurrence of adverse reac-tions were compared between the two groups.Results After treatment,the improvement of serum biochemical indexes in the study group was better than that in the reference group,and the difference was statistically significant(P<0.05).The score of Cornell Dementia Depression Scale[(4.48±0.37)points]in the study group was lower than that in the ref-erence group,and the difference was statistically significant(t=15.742,P<0.05).The scores of Hamilton Anxiety Scale and self-rating Depression Scale in the study group were lower than those in the reference group,and the differences were statistically significant(both P<0.05).There was no statistically significant difference in the incidence rate of ad-verse reactions between the two groups(P>0.05).Conclusion The application of buspirone hydrochloride is of great sig-nificance in improving the condition of patients with Alzheimer's disease complicated with depression and anxiety dis-order,which can reduce the degree of anxiety and depression disorder in patients,without causing adverse reactions,and can accelerate the recovery speed of related abnormal serum indicators.

Alzheimer's diseaseDepression and anxiety disorderBuspirone hydrochloride

刘立源、白娉、孙丽媛

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聊城市第四人民医院,山东聊城 252000

聊城市东昌府区中医院,山东聊城 252000

阿尔茨海默病 抑郁焦虑障碍 盐酸丁螺环酮

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(7)
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