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度洛西汀治疗抑郁症伴失眠的效果及对情感情绪的影响

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目的 探讨度洛西汀治疗抑郁症伴失眠的效果及对情感情绪的影响。方法 选取 2017 年 1 月—2023 年 12 月昆明医科大学第二附属医院石林天奇医院收治的 73 例抑郁症伴失眠患者作为研究对象。基于不同治疗方法将患者分为对照组(n=36,给予米氮平治疗)与观察组(n=37,给予米氮平+度洛西汀治疗)。比较 2 组疗效、情感情绪、睡眠质量以及用药安全性等情况。结果 观察组治疗总有效率为 97。29%,高于对照组的 72。22%(P<0。05)。治疗后观察组患者各项睡眠质量评价指标评分均低于对照组(P<0。05)。治疗后观察组患者焦虑量表(self-rating anxiety scale,SAS)和抑郁量表(self-rating depression scale,SDS)评分分别为(35。84±2。43)分、(34。46±2。18)分,均低于对照组的(54。67±3。46)分、(53。37±4。42)分(P<0。05)。2 组患者不良反应总发生率比较,差异无统计学意义(P>0。05)。结论 在抑郁症伴失眠患者的治疗中度洛西汀的治疗效果显著,可从改善睡眠质量及情感情绪(抑郁、焦虑)等方面控制病情的发展并改善病情的严重程度。
The Effect of Duloxetine in the Treatment of Depression With Insomnia and Its Influence on Emotion and Mood
Objective To explore the effect of duloxetine in the treatment of depression with insomnia and its influence on emotion and mood.Methods A total of 73 patients with depression and insomnia admitted to Shilin Tianqi Hospital,the Second Affiliated Hospital of Kunming Medical University from January 2017 to December 2023 were selected as the research subjects.Based on different treatment methods,the patients were divided into the control group(n=36,treated with mirtazapine)and the observation group(n=37,treated with mirtazapine+duloxetine).The efficacy,emotion and mood,sleep quality and drug safety of the two groups were compared.Results The total effective rate of the observation group was 97.29%,higher than 72.22%of the control group(P<0.05).After treatment,the scores of sleep quality evaluation indexes in observation group were lower than those in control group(P<0.05).After treatment,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of observation group were(35.84±2.43)points and(34.46±2.18)points,respectively,which were lower than(54.67±3.46)points and(53.37±4.42)points of control group(P<0.05).There was no significant difference in the total incidence of adverse reactions between two groups(P>0.05).Conclusion In the treatment of patients with depression and insomnia,duloxetine has a significant therapeutic effect,which can control the development and improve the severity of the condition by improving sleep quality and emotional emotions(depression,anxiety).

depressioninsomniaduloxetinesleep qualityemotionmoodinfluence

赵嘉英、赵学贵

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昆明医科大学第二附属医院石林天奇医院内科,云南昆明 652200

中国人民武装警察部队楚雄支队,云南楚雄 675000

抑郁症 失眠 度洛西汀 睡眠质量 情感 情绪 影响

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(16)