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慢性疼痛合并抑郁、焦虑的疗效观察 被引量:4

Clinical observation on chronic pain inpatients with depression and anxiety disorder
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摘要 目的慢性疼痛合并抑郁、焦虑障碍住院患者予抗抑郁抗焦虑药物治疗后,观察其治疗效果。方法将56例患者分为两组,分别服用文拉法辛和帕罗西汀治疗。患者治疗前后采用Zung氏抑郁自评量表(SDS)、焦虑自评量表(SAS)进行评定。结果连续治疗3周后,两组SAS、SDS评分均下降,但文拉法辛组与帕罗西汀组相比下降程度更为显著(P<0.01);且文拉法辛治疗组的临床治疗效果总体评价优于帕罗西汀组(χ2=8.64,P<0.05)。结论文拉法辛治疗慢性疼痛伴抑郁、焦虑效果优于帕罗西汀,故可在临床上将文拉法辛进一步推广使用。 Objective After chronic pain inpatients with depression and anxiety disorder were treated with antidepressant and anxiolytic drug, then observed its curative effect. Methods 56 patients were divided into two groups, respectively taking Venlafaxine and Paroxetine therapy. Patients were evaluated by ZUNG's self rating Depression Scale (SDS) and self ratiug Anxiety Scale (SAS) assessment heforo and after therapy. Results After 3 weeks of continuous treatment, two groups of SAS, SDS scores decreased, but Venlafaxine group decreased more significantly than Paroxetine group (P 〈 0. 01 ) ; and Venlafaxine group on overall evaluation of clinical treatment effect was better than that of Paroxetine group ( X2 = 8.64, P 〈 0. 05 ). Conclusions Venlafaxine in the treatment of chronic pain accompanied by depression and anxiety effect is better than that of Paroxetine, so Venlafaxine should be further promoting used in clinic.
出处 《齐齐哈尔医学院学报》 2015年第6期847-849,共3页 Journal of Qiqihar Medical University
关键词 慢性疼痛 伴抑郁焦虑 疗效比较 Chronic pain Accompanied by depression and anxiety Comparison of curative effect
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  • 1程湘,王欣,王智,钟序素.妇科疾病患者情绪障碍伴发情况的调查与治疗分析[J].重庆医学,2004,33(11):1707-1708. 被引量:20
  • 2白克镇,杨虎权,黄祖芳,龚科,瞿波,吴世韬.慢性疼痛与情绪障碍及其治疗[J].神经疾病与精神卫生,2004,4(5):395-398. 被引量:34
  • 3龚耀先.修订艾森克个性问卷手册[M].长沙:湖南科技出版社,1983.1-49.
  • 4金华 吴文源.中国正常人SCL-90评定结果的初步分析[J].中国神经精神疾病杂志,1986,12(5):68-70.
  • 5王春芳 蔡则环 等.抑郁自评量表-SDS对1340例正常人评定分析[J].中国神经精神疾病杂志,1986,12(5):267-267.
  • 6王春芳.抑郁自评量表对1340例正常人评定分析[J].中国神经精神疾病杂志,1986,12(5):267-267.
  • 7NESTLER E J, et al. Neurobiology of depression[J]. Neuron, 2002,34(1) : 13-25.
  • 8RESSLER K J, MAYBERG H S. Targeting abnormal neural circuits in mood and anxiety disorders: from the laboratory to the clinic[J]. Nat Neurosci, 2007,10 (9) : 1116-1124.
  • 9aan het ROT M, MATHEW S J, CHARNEY D S. Neurobiological mechanisms in major depressive disorder[J]. CMAJ, 2009,180(3) : 305-313.
  • 10DREVETS W C. Neuroimaging and neuropathological studies of depression: implications for the cognitive-emotional features of mood disorders[J]. Curr Opin Neurobiol, 2001, 11 (2) ; 240-249.

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  • 1张文祥,倪家骧.慢性疼痛患者发生抑郁和焦虑症状的研究[J].中国全科医学,2009,12(9):775-777. 被引量:58
  • 2曹学伟,路嵘,万朝军.抗焦虑治疗对减轻骨科术后疼痛的研究[J].中国现代医学杂志,2006,16(22):3511-3512. 被引量:25
  • 3中华人民共和国卫生部.麻醉药品临床应用指导原则[S].2007.
  • 4北京市疼痛治疗质量控制和改进中心.北京市癌症疼痛诊疗质控专家共识[S].2014:5-17.
  • 5陈昼琳,於挺.阿片受体-阿片肽的免疫镇痛效果及价值研究[J].医学信息,2015,28(6):207-207.
  • 6NCCN临床实践指南:人癌痛[S].2010:19-21.
  • 7Wong WS, Fielding R. The co-morbidity of chronic pain, insom- nia, and fatigue in the general adult population of Hong Kong: Prevalence and associated factors[J]. Journal of Psychosomatic Research, 2012, 73:28 - 34.
  • 8Bema C, Leknes S, Emily A. Holmes, et al. Induction of de-pressed mood disrupts emotion regulation neurocircuitry and en- hances pain unpleasantness[J]. Biol Psychiatry, 2010, 67 : 1083 - 1090.
  • 9Veehof MM, Oskam M J, Schreurs KM, et al. Acceptance-based interventions for the treatment of chronic pain: a systematic re- view and meta-analysis[J]. Pain, 2011,152:533 - 542.
  • 10水源,樊碧发.疼痛的药物治疗进展[J].中华全科医师杂志,2008,7(11):769-770. 被引量:1

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