帕罗西汀辅助治疗甲状腺功能亢进症伴情绪障碍患者的效果及其对甲状腺功能、心理状态的影响

Effect of paroxetine in the adjuvant treatment of hyperthyroidism patients with mood disorders and its influence on thyroid function and psychological state

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2021, 48(1)
作者
作者单位

鹤壁市人民医院核医学科 ;

摘要
【摘要】目的:观察131I联合帕罗西汀治疗甲亢伴情绪障碍患者的临床效果及其对甲状腺功能和焦虑、抑郁情绪的影响。方法:选取我科2018年6月至2019年10月期间109例甲状腺功能亢进症伴情绪障碍患者作为研究对象,对照组54例给予131I治疗,观察组55例在对照组基础上加用帕罗西汀治疗,两个月后对比两组患者的临床疗效、促甲状腺素(TSH)、游离甲状腺素(FT4)、游离三碘甲状腺原氨酸(FT3)水平和焦虑情况评分、抑郁情况评分、症状自评量表(SCL-90),以及两组用药后不良反应的发生情况。结果:治疗后观察组总有效率为92.73%明显高于对照组的74.07%(P<0.05);治疗后两组患者体内TSH、FT4、FT3水平明显优于治疗前(P<0.05),治疗后观察组体内TSH、FT4、FT3水平明显优于对照组(P<0.05);治疗后两组患者SAS、SDS评分明显优于治疗前(P<0.05),治疗后观察组SAS、SDS评分明显优于对照组(P<0.05);两组患者不良反应发生率对比无统计学意义(P>0.05)。结论:帕罗西汀辅助治疗甲状腺功能亢进症伴情绪障碍,能明显提高临床疗效,改善患者体内TSH、FT4、FT3水平,消除焦虑、抑郁情绪,值得应用。
Abstract
[Abstract] Objective: To observe the clinical effect of iodine 131 combined with paroxetine in the treatment of patients with hyperthyroidism and mood disorders and its influence on thyroid function and anxiety and depression. Methods: From June 2018 to October 2019, 109 patients with hyperthyroidism and mood disorders in our department were selected as the research objects. 54 patients in the control group were treated with iodine 131, and 55 patients in the observation group were treated with Parfait on the basis of the control group. After Roxetine treatment, two months later, the clinical efficacy, thyroid stimulating hormone (TSH), free thyroxine (FT4), free triiodothyronine (FT3) levels, anxiety score, depression score, and symptoms were compared between the two groups of patients Self-rating scale (SCL-90), and the occurrence of adverse reactions in the two groups after medication. Results: After treatment, the total effective rate of the observation group was 92.73%, which was significantly higher than the 74.07% of the control group (P<0.05); after treatment, the levels of TSH, FT4 and FT3 in the two groups were significantly better than those before treatment (P<0.05). The levels of TSH, FT4, and FT3 in the observation group were significantly better than those in the control group (P<0.05); the SAS and SDS scores of the two groups after treatment were significantly better than those before the treatment (P<0.05), and the SAS and SDS scores in the observation group were significantly better after treatment It was better than the control group (P<0.05); the incidence of adverse reactions between the two groups was not statistically significant (P>0.05). Conclusion: Paroxetine adjuvant treatment of hyperthyroidism with mood disorders can significantly improve the clinical efficacy, improve the levels of TSH, FT4, FT3 in patients, and eliminate anxiety and depression. It is worthy of application.
关键词
【关键词】帕罗西汀;甲状腺功能亢进症伴情绪障碍;甲状腺功能;心理状态
KeyWord
[Keywords] Paroxetine; hyperthyroidism with mood disorders; thyroid function; mental state
基金项目
页码 76-78
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张丽莉*. 帕罗西汀辅助治疗甲状腺功能亢进症伴情绪障碍患者的效果及其对甲状腺功能、心理状态的影响 [J]. 国际精神病学杂志. 2021; 48; (1). 76 - 78.

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