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[门诊患者对诺米芬辛反应的预测性试验结果]

[Results of a predictive trial of the response to nomifensine in ambulatory patients].

出版信息

Nouv Presse Med. 1978 Jun 28;7(26):2323-30.

PMID:556326
Abstract

Nine hundred and fifty eight cases of neurotic-secondary ambulatory depression were treated with nomifensin by 135 psychiatrists. The analysis of visual analogue scales and of the global assessment shows that:--there were 2/3 responders and 1/3 non-responders--the most improved items were: crying, troubles in getting to sleep, abnormal tiredness, anxiety;--associated drugs from the beginning were frequent. They seemed to correspond to different initial symptomatologies but the final state did not differ substantially;--discrimination methods (linear discriminant function, stepwise discrimination) could separate groups of responders and non-responders, but did not allow for a valid individual prediction;--admist possible causes of these misclassifications, several factors are discussed: patient selection, choice of the variables, skewed or bimodal distributions, statistical methods used, acurateness of quotation, spectrum of the stutied drug.

摘要

135位精神科医生使用诺米芬辛治疗了958例神经症继发性门诊抑郁症患者。视觉模拟量表分析和整体评估表明:——有2/3的患者有反应,1/3的患者无反应;——改善最明显的项目有:哭泣、入睡困难、异常疲倦、焦虑;——一开始就联合用药的情况很常见。它们似乎对应不同的初始症状,但最终状态并无实质性差异;——判别方法(线性判别函数、逐步判别)可以区分有反应者和无反应者群体,但无法进行有效的个体预测;——在这些错误分类可能的原因中,讨论了几个因素:患者选择、变量选择、偏态或双峰分布、所用统计方法、引用准确性、所研究药物的范围。

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