文拉法辛缓释剂与帕罗西汀治疗女性抑郁症伴发焦虑的疗效及对患者心理状态的影响

Efficacy of venlafaxine sustained release agent and paroxetine in the treatment of female depression with anxiety and its influence on the psychological state of patients

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2021, 48(6)
作者
作者单位

新乡医学院第二附属医院心境障碍二科 ;

摘要
【摘要】目的:探讨女性抑郁症伴发焦虑采用文拉法辛缓释剂与帕罗西汀治疗的疗效及对患者心理状态的影响。方法:本文将2018年2月至2020年2月收治的女性抑郁症伴发焦虑患者80例作为研究对象,对所有患者按照随机方式进行分组,对照组40例患者以帕罗西汀用药治疗,观察组40例患者以文拉法辛缓释剂用药治疗,统计分析用药后有效率、用药前后HAMA、HAMD评分、MoCA认知功能评分改善情况及用药后不良反应发生情况。结果:两组之间HAMA、HAMD评分,观察组较对照组低;用药后有效率相比,观察组较对照组高,P<0.05;用药后不良反应发生率相比,两组之间无显著差异,P>0.05;两组认知功能改善情况相比,两组之间均无显著差异,P>0.05。结论:采用文拉法辛缓释剂治疗女性抑郁症伴发焦虑效果优于帕罗西汀,可有效改善患者焦虑与抑郁等不良情绪,总有效率相对较高,但两种药物在不良反应与认知功能改善方面无显著差异。
Abstract
[Abstract] Objective: To investigate the efficacy of venlafaxine sustained release agent and paroxetine in the treatment of female depression with anxiety and its influence on the mental state of the patients. Methods: 80 female patients with depression complicated with anxiety from February 2018 to February 2020 were randomly divided into two groups. 40 patients in the control group were treated with paroxetine. 40 patients in the observation group were treated with venlafaxine sustained release agent. The effective rate before and after treatment, the improvement of HAMA, HAMD score, MoCA cognitive function score and the occurrence of adverse reactions before and after treatment were statistically analyzed. Results: the scores of HAMA and HAMD in the observation group were lower than those in the control group, and the effective rate in the observation group was higher than that in the control group (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05), and there was no significant difference in the improvement of cognitive function between the two groups (P>0.05). Conclusion: Venlafaxine sustained release agent is better than paroxetine in the treatment of female depression with anxiety, which can effectively improve anxiety and depression and other adverse emotions. The total effective rate is relatively high, but there is no significant difference in adverse reactions and cognitive function between the two drugs.
关键词
关键词:女性;抑郁症;焦虑;文拉法辛缓释剂;帕罗西汀;心理状态
KeyWord
Keywords: female; depression; anxiety; venlafaxine sustained release agent; paroxetine; mental state
基金项目
页码 1007-1010
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苗琴*. 文拉法辛缓释剂与帕罗西汀治疗女性抑郁症伴发焦虑的疗效及对患者心理状态的影响 [J]. 国际精神病学杂志. 2021; 48; (6). 1007 - 1010.

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