氟西汀干预治疗脑梗死后抑郁症患者疗效观察

Therapeutic effect of fluoxetine on patients with depression after cerebral infarction

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(1)
作者
作者单位

郏县人民医院内二科 ;

摘要
探讨脑梗死后并发抑郁症的患者应用氟西汀实施干预治疗效果及预后。方法:选择2017年1月至2019年1月期间我院收治的100例脑梗死后并发抑郁症的患者为研究对象,采用随机数字表法分组,就应用控制血压、调脂等常规方案治疗(对照组,n=50)与在此基础上,加用氟西汀干预方案治疗(观察组,n=50)总有效率,抑郁评分,神经功能缺损、认知功能、生活质量评分,不良反应率展开对比。结果:观察组脑梗死后抑郁症患者总有效率经评估为94.00%,相较对照组72.00%,差异具有统计学意义(P<0.05);两组治疗前,抑郁评分经测验无差异(P>0.05),干预后测验值较前均有降低,且观察组较对照组降低程度更为显著,差异具有统计学意义(P<0.05);两组治疗前,神经功能缺损、认知功能、生活质量评分经测验无差异(P>0.05);治疗后,神经功能缺损评分较前均有降低,认知功能和生活质量评分较前均有升高,且各项测验值较对照组降低和升高程度更为显著,差异具有统计学意义(P<0.05)。观察组仅腹痛1例,不良反应率为2%,但症状较轻微,患者可耐受,经对症处理好转,对照组无明显不良反应,组间不良反应率比较无明显差异(P>0.05)。结论:针对临床收治的脑梗死后并发抑郁症的患者,在常规治疗基础上,加用氟西汀干预方案,可显著提高总有效率,改善抑郁负性心理状况,促进神经功能、认知功能恢复,增强生活质量,且具较高安全性。
Abstract
To investigate the effect and prognosis of fluoxetine in patients with depression after cerebral infarction. METHODS: One hundred patients with depression after cerebral infarction admitted to our hospital from January 2017 to January 2019 were enrolled in the study. They were randomly divided into groups and treated with conventional regimens such as blood pressure control and lipid regulation. Control group, n=50) and on the basis of this, plus fluoxetine intervention (observation group, n=50) total effective rate, depression score, neurological deficit, cognitive function, quality of life score, adverse reactions The rate is expanded. RESULTS: The total effective rate of patients with depression after cerebral infarction was 94.00% in the observation group, which was statistically significant compared with the control group (P<0.05). There was no difference in the depression score before treatment. >0.05), the test value after intervention was lower than before, and the observation group was more significant than the control group, the difference was statistically significant (P<0.05); before treatment, neurological deficit, cognitive function, There was no difference in the quality of life scores (P>0.05). After treatment, the neurological deficit scores were lower than before, and the cognitive function and quality of life scores were higher than before, and the test values ​​were lower than the control group. The degree of elevation was more significant, and the difference was statistically significant (P<0.05). In the observation group, only 1 case of abdominal pain, the adverse reaction rate was 2%, but the symptoms were mild, the patient was tolerated, and the symptomatic treatment improved. There was no obvious adverse reaction in the control group. There was no significant difference in the adverse reaction rate between the groups (P>0.05). . Conclusion: For patients with clinically treated cerebral infarction complicated with depression, the addition of fluoxetine on the basis of conventional treatment can significantly improve the total effective rate, improve the negative psychological state of depression, and promote neurological and cognitive functions. Recovery, enhanced quality of life, and high security.
关键词
脑梗死合并抑郁症;氟西汀;心理状况;神经功能;认知功能;生活质量;安全性
KeyWord
cerebral infarction with depression; fluoxetine; psychological status; neurological function; cognitive function; quality of life; safety
基金项目
页码 117-119
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曹建玺*. 氟西汀干预治疗脑梗死后抑郁症患者疗效观察 [J]. 国际精神病学杂志. 2020; 47; (1). 117 - 119.

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