氟哌噻吨美利曲辛治疗老年糖尿病性胃肠功能紊乱伴焦虑抑郁的效果及对血清因子水平的影响分析

Effect of flupentixol and melitracen on elderly patients with diabetic gastrointestinal dysfunction with anxiety and depression and its effect on serum factor levels

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(5)
作者
作者单位

鹤壁煤业(集团)有限责任公司总医院内分泌科 ;

摘要
分析老年糖尿病性胃肠功能紊乱伴焦虑抑郁患者应用氟哌噻吨美利曲辛治疗后效果。方法 采用随机数字表法将我院109例老年糖尿病性胃肠功能紊乱伴焦虑抑郁患者分组,对照组54例给予甲钴胺、曲美布汀联合酪酸梭菌二联活菌胶囊口服治疗,观察组55例增加氟哌噻吨美利曲辛口服治疗,对比两组患者治疗后血清因子水平、焦虑抑郁情绪、生活质量、临床疗效及不良事件发生率。结果 观察组治疗后5-HT水平、SF-36评分、总有效率高于对照组,MPO水平、HAMA、HAMD评分低于对照组(P<0.05),不良事件发生率高于对照组(P>0.05)。结论 氟哌噻吨美利曲辛能够有效改善老年糖尿病性胃肠功能紊乱伴焦虑抑郁患者焦虑抑郁情绪,联合常规治疗更为有效的控制疾病病情,提升生活质量,改善症状体征,安全性佳。
Abstract
Objective To analyze the effect of flupirtine and melitracen in elderly patients with diabetic gastrointestinal dysfunction and anxiety and depression. Methods A total of 109 elderly patients with diabetic gastrointestinal dysfunction and anxiety and depression were enrolled in our hospital by random number table method. 54 patients in the control group were treated with mecobalamin, trimebutine and Clostridium butyricum conjugated live capsules. In group, 55 patients were treated with oral flupirtine and melitracen. The serum factor levels, anxiety and depression, quality of life, clinical efficacy and incidence of adverse events were compared between the two groups. Results The 5-HT level, SF-36 score and total effective rate of the observation group were higher than those of the control group. The MPO level, HAMA and HAMD scores were lower than the control group (P<0.05), and the incidence of adverse events was higher than that of the control group (P>0.05). Conclusions Flurazine thiophene can effectively improve the anxiety and depression of elderly patients with diabetic gastrointestinal dysfunction and anxiety and depression. Combined with conventional treatment, it can effectively control the disease condition, improve the quality of life, improve symptoms and signs, and have good safety.
关键词
氟哌噻吨美利曲辛;老年;糖尿病性胃肠功能紊乱;焦虑抑郁;血清因子
KeyWord
flupentixol to melitracen; elderly; diabetic gastrointestinal dysfunction; anxiety and depression; serum factor
基金项目
页码 918-921
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刘芳*. 氟哌噻吨美利曲辛治疗老年糖尿病性胃肠功能紊乱伴焦虑抑郁的效果及对血清因子水平的影响分析 [J]. 国际精神病学杂志. 2019; 46; (5). 918 - 921.

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