首页|西酞普兰联合米氮平对抑郁症伴睡眠障碍患者认知功能、炎症因子的影响研究

西酞普兰联合米氮平对抑郁症伴睡眠障碍患者认知功能、炎症因子的影响研究

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目的 分析西酞普兰联合米氮平对抑郁症伴睡眠障碍患者认知功能、炎症因子的影响.方法 研究对象为 86 例抑郁症伴睡眠障碍患者,以随机数字表法分为参照组(单一西酞普兰治疗)和实验组(西酞普兰和米氮平联合治疗),每组 43 例.对比两组治疗前后认知功能及炎症因子表达水平.结果 治疗前,两组数字连线测试(TMT-A)耗时及字母连线测试(TMT-B)耗时对比,差异均无统计学意义(P>0.05);治疗后,实验组TMT-A耗时(55.15±7.17)s及TMT-B耗时(77.67±6.06)s均明显较参照组的(62.23±8.30)、(84.22±8.74)s短,差异有统计学意义(P<0.05).治疗前,两组白细胞介素-2(IL-2)及肿瘤坏死因子-α(TNF-α)水平对比,差异均无统计学意义(P>0.05);治疗后,实验组IL-2(2.57±0.33)μg/L及TNF-α(21.98±3.10)pg/ml均明显较参照组的(3.50±0.68)μg/L、(26.16±3.39)pg/ml低,差异有统计学意义(P<0.05).结论 对于抑郁症伴睡眠障碍患者,选择西酞普兰和米氮平联合治疗可在更大程度上改善患者认知功能,有效控制炎症因子表达水平.
Study on effect of citalopram combined with mirtazapine on cognitive function and inflammatory factors in patients with depression and sleep disorders
Objective To analyze the effect of citalopram combined with mirtazapine on cognitive function and inflammatory factors in patients with depression and sleep disorders.Methods 86 patients with depression and sleep disorders were selected as study subjects,all were divided into a reference group(single citalopram treatment)and an experimental group(citalopram and mirtazapine combined treatment)by random table number method,43 patients in each group.The cognitive function and inflammatory factor expression before and after treatment were compared between the two groups.Results Before treatment,there was no significant difference in the time spent on trail making test A(MTT-A)and trail making test B(MTT-B)between the two groups(P>0.05).After treatment,the time taken for TMT-A and TMT-B were(55.15±7.17)and(77.67±6.06)s in the experimental group,which were significantly shorter than(62.23±8.30)and(84.22±8.74)s in the reference group,and the difference was statistically significant(P<0.05).Before treatment,the differences in interleukin-2(IL-2)and tumor necrosis factor-α(TNF-α)between the two groups were not statistically significant(P>0.05).After treatment,the experimental group had IL-2 of(2.57±0.33)μg/L and TNF-α of(21.98±3.10)pg/ml,which were significantly lower than(3.50±0.68)μg/L and(26.16±3.39)pg/ml in the reference group,and the difference was statistically significant(P<0.05).Conclusion For patients with depression and sleep disorders,the combination of citalopram and mirtazapine can improve their cognitive function to a greater extent and effectively control the expression level of inflammatory factors.

CitalopramMirtazapineDepressionSleep disorderCognitive functionInflammatory factors

孙邈、杨晨光、张小弓、孙海申

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461000 许昌万荣心脑血管病医院

西酞普兰 米氮平 抑郁症 睡眠障碍 认知功能 炎症因子

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(19)