丁螺环酮和帕罗西汀治疗焦虑症及对HAMA评分影响分析

Buspirone and paroxetine in the treatment of anxiety disorder and their influence on HAMA score

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(1)
作者
作者单位

南阳市第四人民医院 ;

摘要
【摘要】目的:观察丁螺环酮和帕罗西汀对焦虑症患者的效果及对汉密尔顿焦虑量表(HAMA)的影响。方法:选择2019年1月—2021年6月接诊的90例焦虑症患者,随机分为:观察组(纳入45例,行丁螺环酮+帕罗西汀治疗)、对照组(纳入45例,仅行丁螺环酮治疗),评价组间HAMA评分、焦虑自评量表(SAS)、匹兹堡睡眠质量指数(PSQI)、不良反应症状量表(TESS)、临床有效率。结果:(1)治疗前,组间HAMA、SAS、PSQI评分无明显差异,P>0.05;观察组治疗1周、2周、4周、8周时的HAMA、SAS、PSQI评分更低,P<0.05;(2)观察组治疗1周(3.79±1.05)分、2周(3.37±0.90)分、4周(2.59±0.57)分、8周(2.28±0.64)分时的TESS评分与对照组(3.55±1.02)分、(3.42±0.96)分、(2.42±0.68)分、(2.36±0.71)分无明显差异,P>0.05,不良反应程度较轻,均可耐受;(3)在临床有效率方面,观察组(95.56%)优于对照组(80.00%),P<0.05。结论:对焦虑症患者行丁螺环酮+帕罗西汀治疗,能够增强疗效,尽快减轻焦虑情绪,缓解睡眠障碍,加之不良反应风险低,值得推广。
Abstract
[Abstract] Objective: To observe the effects of buspirone and paroxetine on anxiety patients and Hamilton Anxiety Scale (HAMA). Methods: 90 patients with anxiety disorder admitted from January 2019 to June 2021 were randomly divided into observation group (45 cases were included and treated with buspirone + paroxetine), control group (45 cases were included and treated with buspirone only), HAMA score, self rating Anxiety Scale (SAS), Pittsburgh sleep quality index (PSQI), adverse reaction symptom scale (TESS) and Clinical efficiency. Results: (1) there was no significant difference in HAMA, SAS and PSQI scores between the groups before treatment, P > 0.05; The scores of HAMA, SAS and PSQI in the observation group were lower at 1, 2, 4 and 8 weeks of treatment (P < 0.05); (2) The Tess scores of the observation group at 1 week (3.79 ± 1.05), 2 weeks (3.37 ± 0.90), 4 weeks (2.59 ± 0.57) and 8 weeks (2.28 ± 0.64) were not significantly different from those of the control group (3.55 ± 1.02), (3.42 ± 0.96), (2.42 ± 0.68) and 2.36 ± 0.71), P > 0.05. The degree of adverse reactions was mild and tolerable; (3) In terms of clinical effective rate, the observation group (95.56%) was better than the control group (80.00%), P < 0.05. Conclusion: buspirone + paroxetine treatment for anxiety patients can enhance the curative effect, reduce anxiety and sleep disorders as soon as possible. In addition, the risk of adverse reactions is low, which is worthy of promotion.
关键词
关键词:丁螺环酮;帕罗西汀;焦虑症;HAMA评分
KeyWord
Keywords: buspirone; Paroxetine; Anxiety disorder; HAMA score
基金项目
页码 82-85
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李湘*. 丁螺环酮和帕罗西汀治疗焦虑症及对HAMA评分影响分析 [J]. 国际精神病学杂志. 2023; 50; (1). 82 - 85.

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