医学临床研究
醫學臨床研究
의학림상연구
JOURNAL OF CLINICAL RESEARCH
2014年
8期
1567-1568,1571
,共3页
邓花%杨涌%谢振国%秦群生
鄧花%楊湧%謝振國%秦群生
산화%양용%사진국%진군생
氟西汀/治疗应用%逍遥散/治疗应用%妊娠中期%引产%抑郁症 ,产后/病因学%抑郁症 ,产后/药物疗法%药物疗法 ,联合%治疗结果
氟西汀/治療應用%逍遙散/治療應用%妊娠中期%引產%抑鬱癥 ,產後/病因學%抑鬱癥 ,產後/藥物療法%藥物療法 ,聯閤%治療結果
불서정/치료응용%소요산/치료응용%임신중기%인산%억욱증 ,산후/병인학%억욱증 ,산후/약물요법%약물요법 ,연합%치료결과
Fluoxetine/TU%XIAOYAO POWDERS/TU%Pregnancy Trimester,Second%Labor,In-duced%Depression,Postpartum/ET%Depression,Postpartum/DT%Drug Therapy,Com-bination%T reatment Outcome
【目的】探讨盐酸氟西汀联合逍遥丸治疗孕中期引产产妇产后抑郁的疗效。【方法】52例孕中期引产产后抑郁症产妇,随机分为对照组和观察组,每组26例,对照组产妇仅服用盐酸氟西汀,观察组产妇服用盐酸氟西汀和逍遥丸,均治疗4周,参照汉密尔顿抑郁量表(HDM A )和副作用量表(T ESS )评定两种治疗方法的疗效和副作用。【结果】观察组总有效率为96.15%,高于对照组(92.31%),但差异无统计学意义( P >0.05),观察组患者痊愈率显著高于对照组( P <0.05);两组治疗后随着治疗时间的延长,HDMA 减分率均明显递增( P <0.05);治疗后第1周、第2周观察组TESS得分(6.87±2.38,6.06±2.71)明显小于对照组(9.12±3.03,8.01±2.97)( P <0.05)。【结论】逍遥丸的配合治疗在一定程度上可提高盐酸氟西汀治疗产后抑郁疗效而减弱其副作用。
【目的】探討鹽痠氟西汀聯閤逍遙汍治療孕中期引產產婦產後抑鬱的療效。【方法】52例孕中期引產產後抑鬱癥產婦,隨機分為對照組和觀察組,每組26例,對照組產婦僅服用鹽痠氟西汀,觀察組產婦服用鹽痠氟西汀和逍遙汍,均治療4週,參照漢密爾頓抑鬱量錶(HDM A )和副作用量錶(T ESS )評定兩種治療方法的療效和副作用。【結果】觀察組總有效率為96.15%,高于對照組(92.31%),但差異無統計學意義( P >0.05),觀察組患者痊愈率顯著高于對照組( P <0.05);兩組治療後隨著治療時間的延長,HDMA 減分率均明顯遞增( P <0.05);治療後第1週、第2週觀察組TESS得分(6.87±2.38,6.06±2.71)明顯小于對照組(9.12±3.03,8.01±2.97)( P <0.05)。【結論】逍遙汍的配閤治療在一定程度上可提高鹽痠氟西汀治療產後抑鬱療效而減弱其副作用。
【목적】탐토염산불서정연합소요환치료잉중기인산산부산후억욱적료효。【방법】52례잉중기인산산후억욱증산부,수궤분위대조조화관찰조,매조26례,대조조산부부복용염산불서정,관찰조산부복용염산불서정화소요환,균치료4주,삼조한밀이돈억욱량표(HDM A )화부작용량표(T ESS )평정량충치료방법적료효화부작용。【결과】관찰조총유효솔위96.15%,고우대조조(92.31%),단차이무통계학의의( P >0.05),관찰조환자전유솔현저고우대조조( P <0.05);량조치료후수착치료시간적연장,HDMA 감분솔균명현체증( P <0.05);치료후제1주、제2주관찰조TESS득분(6.87±2.38,6.06±2.71)명현소우대조조(9.12±3.03,8.01±2.97)( P <0.05)。【결론】소요환적배합치료재일정정도상가제고염산불서정치료산후억욱료효이감약기부작용。
To explore the efficacy of fluoxetine hydrochloride combined with Xiaoyao pill for the treatment of postpartum depression in puerperas after induction of labor in second trimester .[Methods]A total of 52 puerperas with postpartum depression after induction of labor in second trimester were randomly divided into control group and observation group with 26 cases in each group .The control group was only treated with fluoxe-tine hydrochloride ,while the observation group was treated with fluoxetine hydrochloride and Xiaoyao pill .The treatment in two groups lasted four weeks .The efficacy and adverse reaction of two treatment methods were as-sessed by Hamilton depression scale(HDMA) and adverse reaction scale(TESS) .[Results]The total effective rate of the observation group was 96 .15% ,which was higher than that(92 .31% ) of the control group( P>0 .05) ,but the full recovery rate of the observation group was significantly higher than that of the control group ( P<0 .05) . With the prolongation of treatment time ,the deducted rate of HDMA in two groups was increased gradually ( P<0 .05) .The TESS score in observation group at 1st and 2nd week after treatment was obviously less than that in control group[(6 .87 ± 2 .38 ,6 .06 ± 2 .71) vs .(9 .12 ± 3 .03 ,8 .01 ± 2 .97)]( P <0 .05) .[Conclusion] The part-ner treatment of Xiaoyao pill can increase the efficacy of fluoxetine hydrochloride for the treatment of postpartum depression and decrease the adverse reaction in a certain degree .