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放射电疗法与艾司西酞普兰治疗伴重度抑郁的惊恐障碍:一项开放标签的自然主义研究。

Radio electric treatment vs. Es-Citalopram in the treatment of panic disorders associated with major depression: an open-label, naturalistic study.

作者信息

Mannu Piero, Rinaldi Salvatore, Fontani Vania, Castagna Alessandro, Margotti Matteo Lotti

机构信息

Responsible for Psychopharmacological Section of Neuro-Psycho-Physical Optimization Society, Florence, Italy.

出版信息

Acupunct Electrother Res. 2009;34(3-4):135-49. doi: 10.3727/036012909803861040.

Abstract

Simultaneous coexistence of anxiety with depressive disorders is probably one of the major current problems in Medicine. The pharmacological approach for Panic Disorder and Major Depression includes "high-powered" benzodiazepines for the rapid, but transitory relief of same symptoms and especially antidepressant compounds. Recently physical-instrumental approaches have been tested for the treatment of these complex diseases, like Cranial Electrotherapy Stimulation (CES), Trans-cranial Magnetic Stimulation (TMS), and Radio Electric Asymmetric Treatment (REAC). The REAC apparatus was designed to deliver an alternate current of several hundred picoamperes for a time span of 0.5 seconds by means of a small metallic probe directly connected to the properly fabricated electronic circuit in an AC/RF generator with frequency of 2.4, 5.8 or 10.5 GHz and power of 20 mW. Compared the efficacy of REAC and Es-Citalopram in the treatment of simultaneous coexistence of Panic Disorder with Major Depression in 9-weeks open label naturalistic study. After the 1st week, patients treated with REAC therapy showed a significant relief of depressive symptoms compared with Es-Citalopram. For Panic Disorder, REAC treatment had more effective results than the drug especially after the 3rd week of observation. The REAC treatment obtained better results during the entire study, and its high safety and tolerability profile has been confirmed.

摘要

焦虑症与抑郁症同时并存可能是当前医学领域的主要问题之一。惊恐障碍和重度抑郁症的药物治疗方法包括使用“强效”苯二氮䓬类药物来迅速但短暂地缓解相同症状,尤其是使用抗抑郁化合物。最近,一些物理器械疗法已被用于测试治疗这些复杂疾病,如颅电刺激疗法(CES)、经颅磁刺激疗法(TMS)和射频不对称交替电流疗法(REAC)。REAC仪器的设计目的是通过一个小金属探头,在频率为2.4、5.8或10.5 GHz、功率为20 mW的交流/射频发生器中,将几百皮安的交流电输送0.5秒,该探头直接连接到精心制作的电子电路上。在一项为期9周的开放标签自然主义研究中,比较了REAC和艾司西酞普兰治疗惊恐障碍与重度抑郁症同时并存的疗效。在第1周后,与艾司西酞普兰相比,接受REAC治疗的患者抑郁症状有显著缓解。对于惊恐障碍,REAC治疗尤其是在观察的第3周后比药物治疗有更有效的结果。在整个研究过程中,REAC治疗取得了更好的效果,并且其高安全性和耐受性也得到了证实。

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