帕罗西汀对产后抑郁患者睡眠质量及认知功能的影响分析

Effect of paroxetine on sleep quality and cognitive function in patients with postpartum depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(2)
作者
作者单位

新密市中医院妇产科 ;

摘要
分析产后抑郁患者应用帕罗西汀治疗后临床疗效。方法 将我院85例产后抑郁患者依据患者入院先后顺序进行分组,对照组42例应用谷维素口服治疗,观察组43例应用帕罗西汀治疗,对比两组患者治疗后抑郁情绪、认知功能、激素水平、神经营养因子、神经递质水平、婴儿照顾能力、睡眠质量及患者社会功能变化。结果 治疗后,观察组雌二醇、BDNF、5-HT水平、婴儿照顾能力、MMSE、喂养信心评分均高于对照组,孕酮、Hcy水平、HAMD、PSQI、SDSS评分均低于对照组(P<0.05)。结论 在常规心理干预基础上联合帕罗西汀,能够有效调节产后抑郁患者雌孕激素、神经递质、神经营养因子水平,改善认知功能及睡眠质量,提升社会功能及婴儿照顾能力,促进抑郁情绪缓解。
Abstract
Objective To analyze the clinical efficacy of paroxetine in postpartum depression patients. Methods 85 patients with postpartum depression in our hospital were grouped according to the order in which they were admitted. The control group was treated with oryzanol orally and the observation group was treated with paroxetine. The depression, cognitive function, and hormone levels of the two groups were compared. , Neurotrophic factors, neurotransmitter levels, infant care, sleep quality, and changes in patient social functioning. Results After treatment, the levels of estradiol, BDNF, 5-HT, infant care ability, MMSE, and feeding confidence in the observation group were all higher than those in the control group, and the levels of progesterone, Hcy, HAMD, PSQI, and SDSS were lower than those in the control group ( P <0.05). Conclusion Combined paroxetine on the basis of conventional psychological intervention can effectively regulate the levels of estrogen and progesterone, neurotransmitters and neurotrophic factors in postpartum depression patients, improve cognitive function and sleep quality, improve social function and infant care ability, and promote depression relief .
关键词
帕罗西汀;产后抑郁;认知功能;哺乳;社会功能
KeyWord
paroxetine; postpartum depression; cognitive function; breastfeeding; social function
基金项目
页码 336-339
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张晓红*. 帕罗西汀对产后抑郁患者睡眠质量及认知功能的影响分析 [J]. 国际精神病学杂志. 2020; 47; (2). 336 - 339.

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