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伏硫西汀和艾司西酞普兰治疗抑郁症的临床疗效

Clinical efficacy of Vortioxetine and escitalopram in the treatment of depression.

作者信息

Shao Shichuan, Sun Baomin, Sun Huiqing

机构信息

Shichuan Shao Department of Medical Administration, Tai'an City Central Hospital, Taian, Shandong, 271000, China.

Baomin Sun Department of Clinical Psychology, Tai'an City Central Hospital, Taian, Shandong, 271000, China.

出版信息

Pak J Med Sci. 2022 May-Jun;38(5):1389-1394. doi: 10.12669/pjms.38.5.5230.

DOI:10.12669/pjms.38.5.5230
PMID:35799757
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9247771/
Abstract

OBJECTIVES

This study was aimed to investigate the efficacy and safety of vortioxetine hydrobromide in the treatment of major depressive disorder (MDD).

METHODS

One hundred and eighty patients with the newly diagnosed depression in our hospital between August 2018 and August 2019 were selected and randomly divided into an observation group and a control group, 90 each group. The control group was treated with escitalopram, and the observation group was treated with voltaxetine. The efficacy and adverse reactions were evaluated by the Hamilton Depression scale-17 (HAMD-17), Sheehan Disability Scale (SDS), Perceived Deficits Questionnaire-Depression (PDQ-D), and treatment emergent symptom scale (TESS) before treatment and at the end of the 8th and 24th week after treatment.

RESULTS

At the end of the 8th and 24th week after treatment, the HAMD-17 scores of the two groups were lower than those before treatment (P<0.05); at the end of the 8th and 24th week after treatment, the PDQ-D and SDS scores of the two groups were lower than those before treatment (P<0.05), and the above scores of the observation group were lower than those of the control group (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05).

CONCLUSION

Voltaxetine can improve cognitive function and clinical symptoms of patients with severe depression and has high safety, which is worth clinical attention.

摘要

目的

本研究旨在探讨氢溴酸伏硫西汀治疗重度抑郁症(MDD)的有效性和安全性。

方法

选取2018年8月至2019年8月在我院新诊断为抑郁症的180例患者,随机分为观察组和对照组,每组90例。对照组采用艾司西酞普兰治疗,观察组采用伏硫西汀治疗。在治疗前、治疗第8周和第24周结束时,采用汉密尔顿抑郁量表-17(HAMD-17)、希恩残疾量表(SDS)、感知缺陷问卷-抑郁版(PDQ-D)和治疗中出现的症状量表(TESS)评估疗效和不良反应。

结果

治疗第8周和第24周结束时,两组HAMD-17评分均低于治疗前(P<0.05);治疗第8周和第24周结束时,两组PDQ-D和SDS评分均低于治疗前(P<0.05),且观察组上述评分低于对照组(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。

结论

伏硫西汀可改善重度抑郁症患者的认知功能和临床症状,且安全性高,值得临床关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751d/9247771/ef00e25c1a89/PJMS-38-1389-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751d/9247771/00d8f6c30b1d/PJMS-38-1389-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751d/9247771/6bafdce9e2e1/PJMS-38-1389-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751d/9247771/ef00e25c1a89/PJMS-38-1389-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751d/9247771/00d8f6c30b1d/PJMS-38-1389-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751d/9247771/6bafdce9e2e1/PJMS-38-1389-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751d/9247771/ef00e25c1a89/PJMS-38-1389-g003.jpg

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