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[一项关于使用荟萃分析评估氟西汀抗抑郁效果的试验]

[A test for using meta-analysis to evaluate antidepressive effects of fluoxetine].

作者信息

Jarema M

机构信息

III Kliniki Psychiatrycznej IPiN w Warszawie.

出版信息

Psychiatr Pol. 1996 Jul-Aug;30(4):569-81.

PMID:8975258
Abstract

The review of clinical antidepressive efficacy of fluoxetine was made on the basis of various authors' reports. The results showed that clinical efficacy of fluoxetine and of classical antidepressive drugs in the treatment of depression was comparable. The meta-analysis revealed effect-size of fluoxetine to be similar to tricyclics. Also the clinical effects of fluoxetine in the treatment of depressive disorders of different severity (mild, moderate, severe) were similar to the effects of classic tricyclic agents. The tolerability of therapeutic doses of fluoxetine in the daily range 20 to 40 mg is comparable while the dosage augmentation to 60 mg per day causes increase in the percentage of patients demonstrating side effects. In comparison with placebo fluoxetine showed significantly better clinical efficacy in the treatment of depression.

摘要

基于不同作者的报告对氟西汀的临床抗抑郁疗效进行了综述。结果表明,氟西汀与经典抗抑郁药物治疗抑郁症的临床疗效相当。荟萃分析显示氟西汀的效应量与三环类药物相似。此外,氟西汀治疗不同严重程度(轻度、中度、重度)抑郁症的临床效果与经典三环类药物的效果相似。氟西汀每日20至40毫克治疗剂量的耐受性相当,而每日剂量增加至60毫克会导致出现副作用的患者百分比增加。与安慰剂相比,氟西汀在治疗抑郁症方面显示出显著更好的临床疗效。

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