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再探复方阿米替林氯氮卓片(阿米替林加氯氮卓)

Limbitrol (amitriptyline plus chlordiazepoxide) revisited.

作者信息

Rickels K

出版信息

Psychopharmacology (Berl). 1981;75(1):31-3. doi: 10.1007/BF00433497.

Abstract

A reanalysis of 4-week data from a recently published study (Feighner et al. 1979) clearly demonstrate that in a significant subgroup of highly depressed patients who also suffer from at least moderate anxiety, significant treatment differences in favor of Limbitrol over AT were present not only after 1 or 2 weeks, but also after 4 weeks of treatment. These differences were not present in the less sick patients, a population in which AT was slightly favored. These findings suggest that not only is Limbitrol more effective than AT alone for a heterogeneous group of depressed patients with some concomitant anxiety during the early phases of treatment, but remains more effective that AT for a significant subgroup of highly depressed patients after 4 weeks of treatment.

摘要

对最近发表的一项研究(Feighner等人,1979年)的4周数据进行的重新分析清楚地表明,在一个同时患有至少中度焦虑症的高度抑郁症患者的重要亚组中,不仅在治疗1周或2周后,而且在治疗4周后,与去甲替林相比,多塞平/去甲替林片在治疗上存在显著差异,更有利于多塞平/去甲替林片。病情较轻的患者中不存在这些差异,在这部分患者中去甲替林稍有优势。这些发现表明,对于一组伴有一些焦虑症的异质性抑郁症患者,多塞平/去甲替林片在治疗早期不仅比单独使用去甲替林更有效,而且在治疗4周后,对于一个高度抑郁症患者的重要亚组,多塞平/去甲替林片仍然比去甲替林更有效。

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