艾司西酞普兰联合认知行为治疗抑郁症患者的有效性与安全性研究

The efficacy and safety of esmcitalopram combined with cognitive behavior in the treatment of depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2022, 49(3)
作者
作者单位

新乡市中心医院精神卫生科 ;

摘要
摘要:目的:探讨抑郁症患者选用艾司西酞普兰联合认知行为治疗的价值。方法:遴选92例抑郁症患者研究(2019年1月~2020年12月),按1:1比例分为对照组(n=46,选用艾司西酞普兰治疗)、观察组(n=46,在对照组基础上选用认知行为治疗),统计两组临床疗效、不良反应评分、复发率、临床指标。结果:(1)临床疗效:观察组(95.65%)高于对照组(78.26%),组间对比P<0.05。(2)复发率:观察组(1年4.35%、2年8.69%)低于对照组,组间对比P<0.05。(3)不良反应评分:观察组第1周与对照组相比无差异,组间对比P>0.05;第6周(4.31±1.06)分低于对照组(7.42±0.52)分,组间对比P<0.05。(4)临床指标:观察组抑郁状态、焦虑状态、S100B低于对照组,社会功能、认知功能、BDNF高于对照组,组间对比P<0.05。结论:艾司西酞普兰联合认知行为在抑郁症治疗中效果确切,可改善其抑郁状态及认知功能,亦可促进其社会功能恢复,确保治疗安全性及有效性,值得借鉴。
Abstract
Abstract: Objective: To explore the value of the combination of esmcitalopram and cognitive behavior in depression patients. Methods: 92 patients with depression were selected (January 2019 to December 2020), and divided into control group (n=46, esmcitalopram) and observation group (n=46, cognitive behavior therapy based on the control group). The clinical efficacy, adverse response score, recurrence rate and clinical indicators were statistically analyzed. Results: (1) the clinical effect: the observation group (95.65%) was higher than the control group (78.26%), and the comparison between the groups was p < 0.05. (2) Recurrence rate: the recurrence rate of observation group (4.35% in 1 year and 8.69% in 2 years) was lower than that of the control group, and the comparison between the groups was p < 0.05. (3) Adverse reactions score: there was no difference between the observation group and the control group in the first week, the difference was p > 0.05, the score of the sixth week (4.31 ± 1.06) was lower than that of the control group (7.42 ± 0.52), and the comparison between the groups was p < 0.05. (4) Clinical indicators: the depression, anxiety and S100B in the observation group were lower than that of the control group, and the social function, cognitive function and BDNF were higher than that of the control group, and the comparison between the groups was p < 0.05. Conclusion: the effect of esmcitalopram combined with cognitive behavior in depression treatment is accurate, it can improve the depression state and cognitive function, promote the recovery of social function, ensure the safety and effectiveness of treatment, which is worth reference.
关键词
关键词:艾司西酞普兰;认知行为;抑郁症;有效性;安全性;复发率;不良反应
KeyWord
Keywords: escitalopram; cognitive behavior; depression; effectiveness; safety; recurrence rate; adverse reactions
基金项目
页码 462-464
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陈帅*. 艾司西酞普兰联合认知行为治疗抑郁症患者的有效性与安全性研究 [J]. 国际精神病学杂志. 2022; 49; (3). 462 - 464.

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