首页|米氮平与度洛西汀联合治疗老年抑郁症的疗效及对患者睡眠质量的影响

米氮平与度洛西汀联合治疗老年抑郁症的疗效及对患者睡眠质量的影响

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目的:探究在老年抑郁症患者中采用米氮平与度洛西汀联合治疗的疗效及对睡眠质量的影响.方法:选取2021 年 1 月—2023 年 1 月贵州省第二人民医院收治的 100 例老年抑郁症患者作为研究对象,按随机数表法分为对照组和观察组,各 50 例.对照组口服度洛西汀治疗,观察组联合米氮平治疗,均于治疗 6 周后评估.比较两组抑郁症状、临床疗效、血清指标、睡眠质量、不良反应情况.结果:观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05);对比两组治疗前抑郁症状、血清指标、睡眠质量,差异无统计学意义(P>0.05);与对照组相比,观察组治疗后汉密尔顿抑郁量表(HAMD)评分低,去甲肾上腺素(NE)、5-羟色胺(5-HT)均升高,匹兹堡睡眠质量指数量表(PSQI)中各维度评分均降低,差异有统计学意义(P<0.05);两组不良反应对比,差异无统计学意义(P>0.05).结论:米氮平联合度洛西汀治疗老年抑郁症患者效果显著,可减轻抑郁症状,调节血清指标,促进睡眠质量改善,且具有较高的安全性,可于临床进一步推广.
Efficacy of Mirtazapine and Duloxetine in the Treatment of Geriatric Depression and Its Effect on Sleep Quality in Patients
Objective:To explore the efficacy of mirtazapine plus duloxetine and its effect on sleep quality in elderly patients with depression.Method:100 elderly depression patients admitted to the hospital from January 2021 to January 2023 were selected as the study objects and devided into the control group and the observation group,with 50 cases in each group.The cases of control group were treated with oral duloxetine and the observation group were treated with mirtazapine.All of them were evaluated after 6 weeks of treatment.The depressive symptoms,clinical efficacy,serum indicators,sleep quality,and adverse effects were compared.Result:The total response rate in observation group was higher than that of the control group(P<0.05).Pre-treatment depressive symptoms,serum indicators,and sleep quality were compared between the two groups(P>0.05).After treatment,the scores of HAMD of observation group were lower than those of the control group.Compared with the control group,the norepinephrine(NE),serotonin(5-HT)of the observation group were higher in observation group,while the PSQI was lower(P<0.05).And there were no differences in the comparison of adverse reaction of the two groups(P>0.05).Conclusion:Mirtazapine combined with duloxetine in elderly patients with depression can reduce depressive symptoms,regulate serum indicators,promote the improvement of sleep quality,and have high safety,which can be further promoted in clinical practice.

Geriatric depressionMirtazapineDuloxetineDepressive symptomsSerum indicatorsSleep quality

刘洋、凌云、刘文碧、刘香

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贵州省第二人民医院 贵州 贵阳 550001

老年抑郁症 米氮平 度洛西汀 抑郁症状 血清指标 睡眠质量

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(21)