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艾司西酞普兰合并齐拉西酮治疗难治性抑郁症的对照研究

A control study on the efficacy of ziprasidone combined with escitalopram in the treatment of refractory depression
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摘要 目的探讨艾司西酞普兰合并齐拉西酮治疗难治性抑郁症的疗效与不良反应。方法将58例难治性抑郁症分为艾司西酞普兰合并齐拉西酮29例为研究组,单用艾司西酞普兰29例为对照组,采用汉密尔顿抑郁量表(HAMD-17)评定疗效,并观察用药过程中的不良反应,疗程8周。结果研究组有效率为79.31%,对照组为55.17%,差异有统计学意义(χ2=3.84,P<0.05);治疗结束后,两组HAMD评分均显著降低,以研究组疗效较好而快(P<0.01),两组不良反应差异无统计学意义(P>0.05)。结论艾司西酞普兰合并齐拉西酮治疗难治性抑郁症疗效优于单用艾司西酞普兰,且起效快,不增加不良的反应。 [ Objective] To investigate the efficacy and adverse reactions of ziprasidone combined with escitalopram in the treatment of refractory depression. [Methods]A total of 58 patients with refractory depression were divided into study group (29 cases) and control group ( 29 cases ). Study group received escitalopram and ziprasidone administration, and the control group with escitalopram alone for 8 weeks. Hamilton depressive scale{ HAMD-17) and treatment emergent symptom scale (TESS} were used to evaluate the efficacy and adverse effects. [ Results] The effective rate in study group and control group was 79.31% and 55.17%, respective- ly, with significant difference ( X2 = 3.84, P 〈 0.05 ). After treatment, the scores of HAMD in 2 groups were descended, the study group was better than the control group in the efficacy ( P 〈0.01 ), the adverse effect was not significant different between 2 groups ( P 〉 0.05 ). [Condusion] The efficacy of combined ziprasidane and escitalopram is better than ziprasidone alone, with characteris- tics of rapid effect and no more adverse effect.
作者 班娜 崔金波
机构地区 天津市安定医院
出处 《职业与健康》 CAS 2012年第18期2303-2304,共2页 Occupation and Health
关键词 艾司西酞普兰 齐拉西酮 难治性抑郁症 Escitalopram Ziprasidone Refractory depression
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参考文献3

  • 1江开达主编.抑郁症防治指南[M].北京:北京大学医学出版社,2007:37.
  • 2Ow ens MJ, Knight DL, Nemeroff CB. Second gencond generation SSRIs human monoamine transporter binding profile of escitalopram and R-flu- oxetine[ J]. Bio Psychiatry,2001 ,50:345 - 350.
  • 3Stinmel GL, Guitierrez MA , Lee V. Ziprasidone an atypical antipsychotic drug for the treatment of schizophrenia [ J]. Clin Ther,2002,24 : 21 - 37.

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