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米氮平治疗脑卒中后抑郁的对照研究 被引量:2

A Comparative Study of Mirtazapine in Treatment of Post-stroke Depression
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摘要 目的评价米氮平治疗卒中后抑郁的疗效及安全性。方法将卒中后抑郁症患者58例随机分为2组。米氮平组(29例)和马普替林组(29例),治疗6周,采用汉密尔顿抑郁量表(HAMD)评定疗效,采用副反应量表(TESS)评定疗效和不良反应。结果米氮平组显效率为75.9%,马普替林组显效率72.4%,2组差异无统计学意义(P>0.05)。米氮平组显效时间早于马普替林组,米氮平组不良反应较少而轻微。结论米氮平是一种安全高效、耐受好、不良反应小、应用范围广的抗抑郁药,可作为脑卒中后抑郁的首选药物使用。 [ Objective ] To evaluate the efficacy and safety of mirtazapine in Treatment of post-stroke depression (PSD). [ Methods ] Totally 58 Patients with PSD were randomly divided into mirtazapine group (29 cases) and maprotiline group (29 cases ) for 6 weeks treatment. Hamilton's depression scale (HAMD) and Emergent Symptom Scale (TESS) were used to assess the clinical efficacy and side effects. [ Results] The obvious effective rate of mirtazapine was 75.9% and that of maprotiline was 72.4%, the effective time of mirtazapine group was earlier than that of maprotiline group. Less and slight side effect was found in mirtazapine group. [ Condusion ] Mirtaznpine is a safe and effective antidepressants drug, with good toleration, less side effect and widely application, which earl be used as the first choice for treatment of PSD.
出处 《职业与健康》 CAS 2009年第23期2632-2633,共2页 Occupation and Health
关键词 卒中后抑郁 米氮平 马普替林 Post-stroke depression Mirtazapine Maprotiline
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  • 1Bogousslavskg J. Willian Feinberg lecture 2002:emotions, mood, and behavior after stroke. Stroke, 2003,34 : 1046 - 1050.
  • 2House A, Dennis M, Moridge L,et al. Mood disorders in the year after first stroke. Br J Psychiatry, 1991,58:96.
  • 3De Boor T, Neikens F, VanHelvoirt A. The az-adrenoceptoran-tagonist ( Org 3770) enhances serotonin transmission in vivo. Eur J Pharmacol, 1994,253:5 - 8.
  • 4郭慧荣,任玉明.米氮平在国内的临床试验综述[J].中国心理卫生杂志,2006,20(7):482-485. 被引量:21

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