米氮平联合治疗慢性酒精中毒性周围神经病的抑郁、焦虑心态分析
chronic alcoholic peripheral neuropathy treated with mirtazapine
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| DOI |
| 刊名 |
Journal of International Psychiatry
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| 年,卷(期) |
2019, 46(3) |
| 作者 |
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| 作者单位 |
开封市中心医院神经内科 ;
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| 摘要 |
目的:观察米氮平联合治疗慢性酒精中毒性周围神经病的抑郁、焦虑心态。方法:将2018年1月~2018年12月64例在我院接受治疗的慢性酒精中毒性周围神经病患者纳入研究对象,随机数字表法分为观察组(32例)与对照组(32例),分别给予米氮平联合治疗与常规治疗,对两组患者治疗前后下肢神经损害评分(NIS-LL)、神经症状改变评分(NSS)、焦虑(SAS)、抑郁(SDS)评分以及临床治疗效果进行综合评价。结果:与治疗前相比,两组患者NIS-LL评分、NSS评分均有所降低,但观察组患者降低幅度更大,优于对照组(P<0.05);两组患者治疗后SAS、SDS评分比较观察组优于对照组(P<0.05),有统计学意义;观察组治疗总有效率VS对照组为93.75%VS78.13%,两组差异有统计学意义(P<0.05)。结论:米氮平联合治疗慢性酒精中毒性周围神经病,能够促进患者神经症状改善,缓解焦虑、抑郁心理,效果显著,值得推广应用。
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| Abstract |
Objective: To observe the depression and anxiety state of patients with chronic alcoholic peripheral neuropathy treated with mirtazapine. Methods: 64 patients with chronic alcoholic peripheral neuropathy treated in our hospital from January 2018 to December 2018 were included in the study. According to the principle of randomization, the patients were divided into observation group (32 cases) and control group (32 cases). Mizapine combined therapy and routine treatment were given respectively. The lower extremity neurological impairment score (NIS-LL) and neurological symptoms change score of the two groups were evaluated before and after treatment. (NSS), anxiety (SAS), depression (SDS) scores and clinical efficacy were evaluated comprehensively. Results: Compared with before treatment, the NIS-LL score and NSS score of the two groups were decreased, but the decrease of the observation group was greater than that of the control group (P < 0.05); SAS and SDS scores of the two groups were better than those in the control group (P < 0.05), with statistical significance; the total effective rate of the observation group was 93.75% VS 78.13% in the control group, with statistical significance between the two groups (P < 0.05). Conclusion: Mirtazapine combined with chronic alcoholic peripheral neuropathy can promote the improvement of neurological symptoms, alleviate anxiety and depression, the effect is remarkable, and it is worthy of popularization and application.
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| 关键词 |
米氮平;慢性酒精中毒性周围神经病;抑郁;焦虑
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| KeyWord |
mirtazapine; chronic alcoholic peripheral neuropathy; depression; anxiety
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| 基金项目 |
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| 页码 |
513-514 |
张蕴*.
米氮平联合治疗慢性酒精中毒性周围神经病的抑郁、焦虑心态分析 [J].
国际精神病学杂志.
2019; 46; (3).
513 - 514.