内蒙古民族大学学报:自然科学版
內矇古民族大學學報:自然科學版
내몽고민족대학학보:자연과학판
Journal of Inner Mongolia University for the Nationalities(Natural Sciences)
2012年
2期
218-219
,共2页
米氮平%帕罗西汀%抑郁症%对照研究
米氮平%帕囉西汀%抑鬱癥%對照研究
미담평%파라서정%억욱증%대조연구
Mirtazapine%Paroxetine%Depression%Control study
目的:探讨米氮平治疗抑郁症的疗效及安全性.方法:将内蒙古民族大学附属医院心理治疗与咨询门诊自2007—11-2011-11收治的76例抑郁症患者随机分为两组,米氮平治疗38例为治疗组,帕罗西汀治疗38例为对照组,疗程12周,以汉密尔顿抑郁量表(HAMD)评定疗效,以抗抑郁药副反应量表(SERS)评定不良反应,分别在治疗前和治疗后2、12周末评定一次.结果:两组治疗前HAMD及瘸晴严重程度评分均无显著性差异(P〉0.05),治疗2、12周末两组HAMD评分与治疗前比较均显著下降(P〈0.05).治疗2周末,HAMD评分两组间比较有非常显著差异(P〈0.01);治疗12周末,两组间HAMD评分无显著差异(P〉0.05).治疗2周末,治疗组不良反应有食欲增加6例,口干2例,嗜睡3例,头晕3例;对照组恶心8例,口干6例,头晕、乏力各4例,心烦、坐不住3例.治疗12周末,治疗组不良反应有体重增加2例,对照组性功能障碍1例.结论:米氮平治疗抑郁症疗效可靠,且起效快、不良反应较轻.
目的:探討米氮平治療抑鬱癥的療效及安全性.方法:將內矇古民族大學附屬醫院心理治療與咨詢門診自2007—11-2011-11收治的76例抑鬱癥患者隨機分為兩組,米氮平治療38例為治療組,帕囉西汀治療38例為對照組,療程12週,以漢密爾頓抑鬱量錶(HAMD)評定療效,以抗抑鬱藥副反應量錶(SERS)評定不良反應,分彆在治療前和治療後2、12週末評定一次.結果:兩組治療前HAMD及瘸晴嚴重程度評分均無顯著性差異(P〉0.05),治療2、12週末兩組HAMD評分與治療前比較均顯著下降(P〈0.05).治療2週末,HAMD評分兩組間比較有非常顯著差異(P〈0.01);治療12週末,兩組間HAMD評分無顯著差異(P〉0.05).治療2週末,治療組不良反應有食欲增加6例,口榦2例,嗜睡3例,頭暈3例;對照組噁心8例,口榦6例,頭暈、乏力各4例,心煩、坐不住3例.治療12週末,治療組不良反應有體重增加2例,對照組性功能障礙1例.結論:米氮平治療抑鬱癥療效可靠,且起效快、不良反應較輕.
목적:탐토미담평치료억욱증적료효급안전성.방법:장내몽고민족대학부속의원심리치료여자순문진자2007—11-2011-11수치적76례억욱증환자수궤분위량조,미담평치료38례위치료조,파라서정치료38례위대조조,료정12주,이한밀이돈억욱량표(HAMD)평정료효,이항억욱약부반응량표(SERS)평정불량반응,분별재치료전화치료후2、12주말평정일차.결과:량조치료전HAMD급가청엄중정도평분균무현저성차이(P〉0.05),치료2、12주말량조HAMD평분여치료전비교균현저하강(P〈0.05).치료2주말,HAMD평분량조간비교유비상현저차이(P〈0.01);치료12주말,량조간HAMD평분무현저차이(P〉0.05).치료2주말,치료조불량반응유식욕증가6례,구간2례,기수3례,두훈3례;대조조악심8례,구간6례,두훈、핍력각4례,심번、좌불주3례.치료12주말,치료조불량반응유체중증가2례,대조조성공능장애1례.결론:미담평치료억욱증료효가고,차기효쾌、불량반응교경.
Objective: To investigate the efficacy and safety of mirtazapine in the treatment of depression. Methods: 76 patients with depression, who treated at psychological treatment and counseling outpatient of affiliated hospital of Inner Mongolia University for Nationalities from November 2007 to November 2011, were randomly divided into treatment group(38 cases) and control group(38 cases), the treatment group were treated with mirtazapine, and the control group were treated with paroxetine, the treatment course was 12 weeks. Adopting Hamilton rating scale for depression(HAMD) to assess the efficacy, rating scale for side effects(SERS) to assess side effects, the assessments were made before treatment and after treatment 2 and 12 weeks respectively. Results: HAMD and disease severity scores of the two groups before treatment had no significant difference (P〉0.05). After treatment for 2 and 12 weeks, HAMD scores of the two groups were significantly decreased compared with pretreatment(P〈O.05), and there was a significant difference between the two groups (P〈O.01); while after treatment 12 weeks, HAMD score between the two groups had no significant difference (P〉0.05). After 2 weeks treatment, adverse effects in the treatment group: appetite increase in 6 cases, dry mouth in 2 cases, lethargy in 3 cases, dizziness in 3 cases; in the control group: nausea in 8 cases, dry mouth in 6 cases, dizziness in 4 cases, hypodynamia in 4 cases, restlessness in 3 cases. The adve~e effects after 12 weeks treatment, there were 2 cases of gain weight in the treatment group, 1 case of sexual dysfunction in the control group. Conclusion: Mirtazapine has a reliable effect in treating depression with rapid effect and lighter adverse reactions.