Łapin Joanna, Bidzan Leszek, Turczyński Jacek, Sołtys Krzysztof
II Klinika Chorób Psychicznych AM w Gdańsku.
Psychiatr Pol. 2002 Nov-Dec;36(6 Suppl):147-55.
Apart from dementia, depressive disorders are the commonest psychiatric disorders of elderly people. The treatment of these patients encounters numerous limitations due to their susceptibility to undesirable effects. Therefore, new better drugs are being searched for, which would be as effective as tricyclic (TLPD) antidepressants. The purpose of the research was to assess the effectiveness of selected antidepressants in senile depressive disorders. 90 patients (76 women and 14 men), diagnosed with a depressive episode according to the ICD-10 criteria, were examined. The following scales were used: the MMSE, Hachinski, IADL, GDS, ADAS and GdeprS. The CGI scale was used to assess clinical improvement. The research showed that mianserin was as effective as the TLPD. Both the TLPD and mianserin proved to be more efficient than the SSRI.
除痴呆症外,抑郁症是老年人最常见的精神疾病。由于这些患者易出现不良反应,对他们的治疗面临诸多限制。因此,人们正在寻找更好的新药,其效果要与三环类(TLPD)抗抑郁药相当。该研究的目的是评估所选抗抑郁药治疗老年抑郁症的有效性。对90名根据ICD - 10标准被诊断为抑郁发作的患者(76名女性和14名男性)进行了检查。使用了以下量表:简易精神状态检查表(MMSE)、哈金斯基缺血量表(Hachinski)、日常生活活动能力量表(IADL)、老年抑郁量表(GDS)、阿尔茨海默病评定量表(ADAS)和老年抑郁症状量表(GdeprS)。临床总体印象量表(CGI)用于评估临床改善情况。研究表明,米安色林与TLPD的效果相当。TLPD和米安色林均被证明比选择性5 - 羟色胺再摄取抑制剂(SSRI)更有效。