Fu Jian-liang, Zhao Yu-wu, Sun Xiao-jiang
Department of Neurology, No.6 Hospital, Shanghai Jiaotong University, Shanghai 200233, China.
Zhong Xi Yi Jie He Xue Bao. 2008 Mar;6(3):258-61. doi: 10.3736/jcim20080307.
To evaluate the safety and efficacy of Wuling Capsule combined with Deanxit in treating post-stroke depression (PSD).
One hundred and fourteen patients with PSD were randomly divided into Wuling Capsule-treated group (n=39), Deanxit-treated group (n=37) and Wuling Capsule plus Deanxit-treated group (n=38). Patients in Wuling Capsule-treated group were administered with three Wuling Capsules three times a day, and patients in Deanxit-treated group were administered with Deanxit 10.5 mg twice daily, while patients in the Wuling Capsule plus Deanxit-treated group were administered with both Wuling Capsule and Deanxit. Patients in the three groups were all treated for six weeks. Treatment efficacy was evaluated with Hamilton Depression Scale (HAMD) and the side effects were evaluated with Treatment Emergent Symptom Scale (TESS) before treatment and after 2-, 4-, and 6-week treatment. The blood and urine routine examinations were performed, and the hepatorenal functions and electrocardiogram were examined as well.
There was no statistical difference in the total efficacy rate between Wuling Capsule-treated group and Deanxit-treated group (64.1% vs 64.9%, P>0.05), but the total efficacy rate of Wuling Capsule plus Deanxit-treated group was higher than that of the monotherapy (89.5% vs 64.1%, 89.5% vs 64.9%, P<0.05). There were no significant side effects in Wuling Capsule-treated group, while the incidence of side effects was 9% in both groups administered with Deanxit.
The efficacy of Wuling Capsule plus Deanxit is better than that of the monotherapy in treating PSD.
评估乌灵胶囊联合黛力新治疗脑卒中后抑郁(PSD)的安全性和有效性。
114例PSD患者随机分为乌灵胶囊治疗组(n = 39)、黛力新治疗组(n = 37)和乌灵胶囊联合黛力新治疗组(n = 38)。乌灵胶囊治疗组患者每日3次,每次服用3粒乌灵胶囊;黛力新治疗组患者每日2次,每次服用10.5 mg黛力新;乌灵胶囊联合黛力新治疗组患者同时服用乌灵胶囊和黛力新。三组患者均治疗6周。治疗前及治疗2周、4周、6周后,采用汉密尔顿抑郁量表(HAMD)评估治疗效果,采用治疗中出现的症状量表(TESS)评估不良反应。进行血常规和尿常规检查,并检查肝肾功能及心电图。
乌灵胶囊治疗组与黛力新治疗组的总有效率无统计学差异(64.1%对64.9%,P>0.05),但乌灵胶囊联合黛力新治疗组的总有效率高于单一疗法组(89.5%对64.1%,89.5%对64.9%,P<0.05)。乌灵胶囊治疗组无明显不良反应,而服用黛力新的两组不良反应发生率均为9%。
乌灵胶囊联合黛力新治疗PSD的疗效优于单一疗法。