帕罗西汀合并奥氮平治疗伴躯体症状抑郁症的对照研究

被引:20
作者
刘彩兴
董继承
薛晓斌
冯玉芳
机构
[1] 山东省青岛市精神卫生中心
关键词
帕罗西汀; 奥氮平; 抑郁症;
D O I
暂无
中图分类号
R749.4 [情感性精神病];
学科分类号
摘要
目的探讨帕罗西汀合并奥氮平治疗伴躯体症状抑郁症的疗效及安全性。方法66例伴躯体症状的抑郁症患者随机分为帕罗西汀组33例,帕罗西汀合用奥氮平组33例,共治疗8周。于治疗前,治疗后1、2、4、8周末采用汉密尔顿抑郁量表(HAMD),副反应量表(TESS)评定疗效和副反应。结果帕罗西汀合用小剂量奥氮平组疗效显著,合用药组与单用药组的显效率分别是84.85%和60.61%,差异有显著性(χ2=4.89,P<0.05)。两组的HAMD因子分在焦虑/躯体化和睡眠障碍方面差异有显著性;两组副作用均较小。结论帕罗西汀合用小剂量奥氮平治疗抑郁症起效快,可提高疗效,能迅速改善睡眠障碍和躯体症状。
引用
收藏
页码:207 / 209
页数:3
相关论文
共 11 条
  • [1] Reduced brain norepi-nephrine and dopamine release in treatment refractory depressiveillness,evidence in support of the catecholamine hypothesis ofmood disorders. Lambert G,Johansson M,Agren H,et a. J Arch Gen Psychiarty . 2005
  • [2] Mianserin,a 5-HT2a/2c and alpha 2 antago-nist,in the treatment of sexual dysfunction induced by sero-tonin reuptake inhibitors. Aizenberg D. J Clin Neuro-pharmacol . 1997
  • [3] Differential effects of milnacipran, fluvoxamine and paroxetine for inhibited and agitated depression[J] . Shigeru Morishita,Seizaburo Arita. &nbspEuropean Psychiatry . 2004 (7)
  • [4] 21世纪中国精神医学的思考. 张明园. 上海精神医学 . 2000
  • [5] 精神病学[M]. 人民卫生出版社 , 沈渔〓主编, 2001
  • [6] Differential effects of milnacipran, fluvoxam-ine and paroxetine for inhibited and agitated depression. Shigeru M, Seizaburo A. European Psychiatry . 2004
  • [7] Synergistic effects of olanzapine and other antipsychotic agents in combination with fluoxetine on norepinephrine and dopamine release in rat prefrontal cortex. Zhang W, Perry KW, Wong DT, et al. Neuropsychopharmacology . 2000
  • [8] The effects of paroxe-tine and tianeptine on peripheral makers in major depression. Dortea MS,Nela P,Marina S,et al. Progress in Neuro-psychopharmacology&Biologicalpsychiatry . 2002
  • [9] Clinical and theoretical im-plication of5-HT2and DA2receptors occupancy of clozapine,ris-peridone,and olanzapine in schizophrenia. Kapur S,Zipurski RB,Remington G. American Journal of Psychiatry . 1999
  • [10] A double-blindcomparison of nefazodone,i mipramine,and placebo inmajor depression. Fontaine R,Ontiveros A,Elie R,et al. Clinical Child Psychology and Psychiatry . 1994