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西酞普兰与氟西汀治疗老年期抑郁障碍的对照研究 被引量:9

A Comparative Study of Citalopram and Fluoxetine in the Treatment of Senile Depressive Disorders
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摘要 目的:比较西酞普兰和氟西汀治疗老年期抑郁障碍的疗效和安全性。方法:将符合老年期抑郁障碍的门诊患者50名随机分为2组,分别给予西酞普兰和氟西汀治疗6周。采用汉密尔顿抑郁量表(HAMD17)、临床总体印象量表(CGI)和副反应量表(TESS)评定疗效和不良反应。结果:在完成6周治疗的42 例病人中,西酞普兰组显效率为86%,氟西汀组为80%,两组疗效差异无显著意义(X^2=0.35,P>0.05)。治疗一周以后,西酞普兰组HAMD 评分低于氟西汀组,差异有显著意义(P<0.05)。两组的副反应轻微,无一例因药物反应而脱落,安全性良好。结论:与氟西汀相比,西酞普兰治疗老年期抑郁障碍的疗效和安全性类似,但是起效较快。 Objective:To compare the efficacy and safety of citalopram and fluoxetine in the treatment of senile depressive disorder.Methods:Fifty patients with senile depressive disorders were enrolled.Hamilton Rating Scale of depression(HAMD 17)and Clinical Global Impression(CGI)and treatment emergent symptom scale(TESS) were used to evaluate the efficacy and side effects.Results:Among the 42 patients,who completed the 6 weeks treatment,86% were markedly improved in the citalopram group and 82% were markedly improved in the fluoxetine group.The side effects in both groups were few and no patient dropped out because of side effect.Conclusion: Citalopram is similar to fluoxetine in efficacy and safety,but takes effects earlier.
出处 《中国心理卫生杂志》 CSSCI CSCD 北大核心 2005年第5期355-356,共2页 Chinese Mental Health Journal
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参考文献4

  • 1姚贵忠,刘平,舒良,宣妙珍,王振怀.西酞普兰治疗抑郁症[J].中国心理卫生杂志,1999,13(3):162-164. 被引量:74
  • 2王玉伟,杨丽芹,孙静,邵长春.西酞普兰与氟西汀治疗抑郁症对照研究[J].临床精神医学杂志,2004,14(4):225-226. 被引量:69
  • 3Mendels J, Kiev A, Fabre LF. Double-blind comparison of citalopram and placebo in depressed out-patients with melancholia. Depress Anxiety, 1999, 9(2):54-60.
  • 4Paths M, Bouchard JM, Bougerol T, et al. Citalopram versus fluoxetine: a double-blind, controlled, multicentre, phase Ⅲtrial in patients with unipolar major depression treated in general practice. Iht Clin Psychopharmacol, 1996, 11(2):129-136.

二级参考文献3

  • 1Bougerol T,Scotto JC,Patris M,et al.Citalopram and fluoxetine in major depression-comparison of two clinical trials in a psychiatrist setting and in general practice[J].Clin Drug Investigation,1997,14:77-89.
  • 2Stahl SM.Placebo-controlled comparison of the selective serotonin re-uptake in higitors citalopram and sertraline[J].Biol Psychiatry,2000,48:894-901.
  • 3Noble S,Benfield P.Citalopram:a review of its pharmacology,clinical efficacy and tolerability in the treatment of depression[J].CNS Drugs,1997,8:410-431.

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