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[氟西汀治疗强迫症门诊患者的疗效评估:初步报告]

[Efficacy assessment of fluoxetine treatment of outpatients with obsessive-compulsive disorder: a preliminary report].

作者信息

Wandzel L

机构信息

Prywatny Gabinet Psychiatryczny w Białymstoku.

出版信息

Psychiatr Pol. 1997 Jul-Aug;31(4):429-35.

PMID:9527686
Abstract

20 obsessive-compulsive patients (OCD according to DSM IV) were treated with fluoxetine. The efficacy of the 3-month treatment was evaluated by Yale-Brown Obsessive Compulsive Rating Scale (Y-BOCS). The average of the Y-BOCS was 26.9 at the beginning of the treatment. The intensity of the OCD was radically lower after the first month of the treatment. The average of the Y-BOCS was 26.9 at the beginning of the treatment. The intensity of the OCD was radically lower after the first month of the treatment. The average of the Y-BOCS was 18.7 (difference statistically significant). The similar difference of the intensity of OCD was noticed after the second month of the treatment with fluoxetine. The average of the Y-BOCS was 12.9 (difference statistically significant). The average of the Y-BOCS after the third month of treatment with fluoxetine was only 9.1. The intensity of OCD after 3 months of treatment with fluoxetine was clinically insignificant in 60% of the patients and in 35% it was mild. The result of the 17-item Hamilton Depression Scale was low and was not changed statistically during 3 months, treatment with fluoxetine. The results confirm the antiobsessional activity of fluoxetine, particularly in the second month of the treatment. Fluoxetine can be very useful in the treatment of OCD.

摘要

20名强迫症患者(根据《精神疾病诊断与统计手册第四版》诊断为强迫症)接受了氟西汀治疗。采用耶鲁-布朗强迫症评定量表(Y-BOCS)评估3个月治疗的疗效。治疗开始时Y-BOCS的平均值为26.9。治疗第一个月后,强迫症的严重程度大幅降低。治疗开始时Y-BOCS的平均值为26.9。治疗第一个月后,强迫症的严重程度大幅降低。Y-BOCS的平均值为18.7(差异具有统计学意义)。在使用氟西汀治疗的第二个月后,观察到强迫症严重程度有类似差异。Y-BOCS的平均值为12.9(差异具有统计学意义)。使用氟西汀治疗三个月后Y-BOCS的平均值仅为9.1。使用氟西汀治疗3个月后,60%的患者强迫症严重程度在临床上无显著意义,35%的患者为轻度。17项汉密尔顿抑郁量表的结果较低,在使用氟西汀治疗的3个月期间无统计学变化。结果证实了氟西汀的抗强迫作用,尤其是在治疗的第二个月。氟西汀在强迫症治疗中可能非常有用。

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