Xu Ji-Hua, Jiang Peng
Department of Neurolgy, Beijing ChaoYang Hospital, Capital Medical University, Beijing, China.
Medicine (Baltimore). 2018 Apr;97(14):e0219. doi: 10.1097/MD.0000000000010219.
This retrospective study investigated the efficacy and safety of escitalopram oxalate (ESO) for the treatment of post-stroke depression (PSD).A total of 115 patients with PSD were included in this study. A total of 65 patients underwent ESO (Intervention group). A total of 50 patients received acupressure (Control group). The outcome measurements included Montgomery-Åsberg Depression Rating Scale (MADRS), Hamilton Anxiety Rating Scale (HAM-A), and Sheehan Disability Scale (SDS). In addition, we also recorded the adverse events in this study.At the end of 8-week treatment, ESO showed greater efficacy in depression, measured by MADRS (P < .01); anxiety, measured by HAM-A scale (P < .01); and disability, measured by SDS (P < .01), compared to acupressure. Additionally, there were not significant differences regarding adverse events between two groups (P > .05).The present results indicate that ESO can decrease symptoms of patients with PSD.
这项回顾性研究调查了草酸艾司西酞普兰(ESO)治疗卒中后抑郁(PSD)的疗效和安全性。本研究共纳入115例PSD患者。其中65例患者接受ESO治疗(干预组)。另外50例患者接受指压治疗(对照组)。疗效指标包括蒙哥马利-艾斯伯格抑郁量表(MADRS)、汉密尔顿焦虑量表(HAM-A)和希恩残疾量表(SDS)。此外,我们还记录了本研究中的不良事件。在8周治疗结束时,与指压治疗相比,ESO在通过MADRS评估的抑郁(P<0.01)、通过HAM-A量表评估的焦虑(P<0.01)以及通过SDS评估的残疾方面(P<0.01)均显示出更高的疗效。此外,两组之间在不良事件方面无显著差异(P>0.05)。目前的结果表明,ESO可减轻PSD患者的症状。