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阿戈美拉汀治疗抑郁障碍的应用及效果评估

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目的 探究阿戈美拉汀治疗抑郁障碍的应用及效果.方法 选择2015年1月~2016年12月宜春市第三人民医院门诊收治的150例抑郁患者,采用随机数表法分为A、B、C 3组,每组50例;A组应用阿戈美拉汀,B组应用文拉法辛,C组应用帕罗西汀.观察3组治疗前后症状改善情况[汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)],睡眠质量[匹兹堡睡眠质量指数(PSQI)、睡眠状况自评量表(SRSS)]和认知功能[重复性成套神经心理状态测验(RBANS)、连线测试(TMT)],并记录药物不良反应.结果治疗4 w后,3组患者HAMD、HAMA评分均较治疗前下降(P<0.05),且HAMD评分结果显示A组<B组<C组(P<0.05),HAMA评分结果显示B组<A、C组(P<0.05),但A、C2组比较差异无统计学意义.治疗4 w后,3组PSQI、SRSS评分均较治疗前降低(P<0.05),且A组<B、C组(P<0.05),B、C组间对比差异无统计学意义.治疗4 w后,3组RBANS评分均较治疗前上升(P<0.05),且即刻记忆、延迟记忆、注意三项评分中A组>B、C组(P<0.05),而延迟记忆、注意两项评分中B组>C组(P<0.05),即刻记忆中B、C组间对比差异无统计学意义.3组治疗后言语、视觉广度得分组间对比差异无统计学意义.治疗4 w后,3组按序连接及按序交替连接所用时间均较治疗前缩短(P<0.05),且按序交替时间显示A组<B组<C组(P<0.05),按序交替连接时间显示A组<B、C组(P<0.05),但B、C 2组按序交替连接时间组间对比差异无统计学意义.A组不良反应发生率低于B、C 2组(P<0.05),B、C 2组对比差异无统计学意义.结论 阿戈美拉汀治疗抑郁障碍效果显著、安全性较高.
Application of aggameline in the treatment of depressive disorder and its effect evaluation
Objective To explore the application and effect of aggameline in the treatment of depression. Methods 150 patients with depression treated in our hospital from January 2015 to December 2016 were randomly divided into three groups: A, B and C, 50 cases in each group. Group A was treated with rosiglitamine, group B was treated with venlafaxine, group C was treated with paroxetine. The improvement of symptoms before and after treatment in the three groups was observed[ (Hamilton Depression Scale (HAMD), Hamilton Anxiety Scale (HAMA)], Sleep Quality [Pittsburgh Sleep Quality Index (PSQI), Sleep Self-Rating Scale (SRSS)] and cognition Function [repeat sets of neuropsychological state test (RBANS), connection test (TMT)], and adverse drug reactions were recorded. Results After four weeks of treatment, the scores of HAMD and HAMA in the three groups were lower than those before treatment (P<0.05). The results of HAMD score showed that group B (P<0.05), but there was no significant difference between group A and group C. After treatment for four weeks, the scores of PSQI and SRSS were lower than those before treatment (P<0.05). There was no significant difference between group A and group B (P<0.05). After treatment, the scores of RBANS were higher than those before treatment (P<0.05), and delayed memory, attention to the two groups in group B> group C (P<0.05), There was no significant difference between the two groups in immediate memory; there was no statistically significant difference between the three groups after treatment and speech and visual acuity scores. After 4 weeks of treatment, the time to connect and connect sequentially was shorter than that before treatment (P<0.05), and the order of alternating time showed that group A<group B<group C (P<0.05), the order of alternating connection time showed that group A< group B and group C (P<0.05), but there was no significant difference in the order of alternating connection time between group B and group C. The incidence of adverse reactions in group A was lower than that in group B and C (P<0.05),but there was no significant difference between group B and group C. Conclusion Aggameline is effective in treating depression and has high safety and considerable clinical value.

depressive disorderAgamelinevenlafaxineparoxetine

廖波、李彦、高镕、兰胜作、卢志南

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宜春市第三人民医院 精神科,江西 宜春 336000

抑郁障碍 阿戈美拉汀 文拉法辛 帕罗西汀

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(10)
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