艾司西酞普兰与米氮平治疗抑郁症的临床比较

Clinical Comparison of Escitalopram and Mirtazapine in the Treatment of Depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(3)
作者
作者单位

聊城市第四人民医院 ;

摘要
【摘要】 比较艾司西酞普兰与米氮平治疗抑郁症的临床疗效。方法 选择2018年3月至2020年3月140例抑郁症患者作为研究对象,按随机数字表法均分为对照组和研究组。研究组采取艾司西酞普兰治疗,对照组采取米氮平治疗。比较两组的汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、匹兹堡睡眠质量指数(PSQI)、健康调查简表(SF-36)、临床疗效、不良反应。结果 对照组治疗8周后的HAMD、HAMA、PSQI评分显著高于研究组,SF-36评分显著低于研究组,差异均有统计学意义(P<0.05)。对照组总有效率84.29%显著低于研究组总有效率95.71%,差异有统计学意义(P<0.05)。对照组不良反应发生率18.57%显著高于研究组不良反应发生率7.14%,差异有统计学意义(P<0.05)。结论 艾司西酞普兰治疗抑郁症的临床疗效显著高于米氮平,还能有效改善患者的睡眠、生活质量,且不良反应较少。
Abstract
[Abstract] Objective To compare the clinical comparison of escitalopram and mirtazapine in the treatment of depression. Methods A total of 140 patients with depression from March 2018 to March 2020 were selected as the study subjects. They were randomly divided into the control group and the study group according to random number table method. The study group was treated with escitalopram and the control group was treated with mirtazapine. The two groups of Hamilton Depression Scale (HAMD), Hamilton Anxiety Scale (HAMA), Pittsburgh Sleep Quality Index (PSQI), Health Survey Short Form (SF-36), clinical efficacy, adverse reactions were compared. Results After 8 weeks of treatment, the HAMD, HAMA, and PSQI scores of the control group were significantly higher than that of the study group, and the SF-36 score was significantly lower than that of the study group, and the differences were statistically significant (P<0.05). The total effective rate of the control group was 84.29%, which was significantly lower than that of the study group, 95.71%, the difference was statistically significant (P<0.05). The incidence of adverse reactions in the control group was 18.57%, which was significantly higher than that in the study group, 7.14%, the difference was statistically significant (P<0.05). Conclusion The clinical efficacy of escitalopram in the treatment of depression is significantly higher than that of mirtazapine, and it can also effectively improve patients sleep and quality of life, with fewer adverse reactions.
基金项目
页码 495-497
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孙丽敏*. 艾司西酞普兰与米氮平治疗抑郁症的临床比较 [J]. 国际精神病学杂志. 2020; 47; (3). 495 - 497.

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