羟考酮缓释片单用或联合氟伏沙明治疗中重度癌痛合并抑郁的临床疗效比照对比

Comparison of clinical efficacy of oxycodone sustained-release tablets alone or in combination with fluvoxamine in the treatment of moderate and severe cancer pain with depression

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

郑州大学附属南阳医院 ;

摘要
目的:探讨羟考酮缓释片单用或联合氟伏沙明治疗中重度癌痛合并抑郁患者的临床疗效。方法:将本院于2016年1月至2019年1月期间收治的中重度癌痛合并抑郁患者作为研究,共102例依据随机数字抽取表法分组,对照组和观察组各51例,分别采用羟考酮缓释片单用治疗、羟考酮缓释片联合氟伏沙明治疗,观察两组疼痛程度、抑郁状态及生活质量改善情况,并观察两组用药不良反应发生情况。结果:治疗前两组患者疼痛程度评分、抑郁状态评分及生活质量评分均 较高,且比较无差异显著性,P>0.05;治疗2周、4周时,观察组患者疼痛程度评分、抑郁状态评分及生活质量评分逐渐降低,且与同时间段对照组比较优势明显,差异显著,P<0.05;观察组不良反应中便秘23.53%显著低于对照组49.02%,而恶心呕吐35.29%则显著高于对照组17.65%,P<0.05。结论:针对中重度癌痛合并抑郁患者采用羟考酮缓释片联合氟伏沙明治疗可促使患者疼痛程度明显减轻,并快速改善抑郁状态及生活质量,而且增加药物不会增加不良反应发生,具有疗效好,安全性高优势,值得推广。
Abstract
Objective: To investigate the clinical efficacy of oxycodone sustained-release tablets alone or in combination with fluvoxamine in the treatment of moderate and severe cancer pain with depression. Methods: 102 patients with moderate or severe cancer pain and depression were divided into control group and observation group according to random number table method. 51 patients in control group and observation group were treated with oxycodone sustained-release tablets alone and oxycodone sustained-release tablets combined with fluvoxamine respectively. The degree of pain, depression and improvement of quality of life were observed in the two groups. The adverse drug reactions of the two groups were observed. Result: Before treatment, the scores of pain degree, depression state and quality of life in the two groups were higher, and there was no significant difference (P > 0.05). At 2 and 4 weeks of treatment, the scores of pain degree, depression state and quality of life in the observation group were gradually reduced, and compared with the control group at the same time, the difference was significant (P < 0.05). 23.53% of Yingzhong constipation was significantly lower than 49.02% of the control group, while 35.29% of nausea and vomiting was significantly higher than 17.65% of the control group, P < 0.05. CONCLUSION: Oxycodone sustained-release tablets combined with fluvoxamine in the treatment of moderate and severe cancer pain with depression can significantly reduce the degree of pain, and rapidly improve the state of depression and quality of life, and increase the drug will not increase the incidence of adverse reactions, with good efficacy, high safety advantages, which is worth promoting.
关键词
羟考酮缓释片;氟伏沙明;中重度癌痛;抑郁;不良反应;
KeyWord
oxycodone sustained-release tablets; fluvoxamine; moderate and severe cancer pain; depression; adverse reactions;
基金项目
页码 367-369
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张森*. 羟考酮缓释片单用或联合氟伏沙明治疗中重度癌痛合并抑郁的临床疗效比照对比 [J]. 国际精神病学杂志. 2020; 47; (2). 367 - 369.

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