帕罗西汀联合度洛西汀对于抑郁伴躯体化障碍患者的临床效果

Clinical Effect of Paroxetine Combined with Duloxetine on Patients with Depression and Somatization Disorders

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(4)
作者
作者单位

上海市宝山区精神卫生中心 ;
上海市精神卫生中心 ;

摘要
【摘要】探讨帕罗西汀联合度洛西汀治疗抑郁伴躯体化障碍的临床疗效。方法 采用症状自评量表(SCL-90)和Znug抑郁自评量表(SDS)筛选出抑郁伴躯体化障碍的患者30例,随机分为治疗组和对照组,每组各15 例,分别给予口服帕罗西汀+度洛西汀和口服度洛西汀治疗,4周为一个疗程。在治疗前及治疗4周末测量患者的SCL-9和SDS评分。结果 ① 治疗前,两组的SCL-9和SDS评分无明显差异(P﹥0. 05); ②治疗4周后,治疗组的SDS评分低于对照组,差异有统计学意义(P﹤0. 05);治疗组治疗后的SDS评分低于治疗前,差异有统计学意义(P﹤0. 05);③ 治疗4周后,治疗组的SCL-9评分低于对照组,差异有统计学意义(P﹤0. 05);两组在治疗4周后SCL-9评分均低于治疗前,差异有统计学意义(P﹤0. 05)。结论 帕罗西汀联合度洛西汀可改善抑郁伴躯体化障碍,值得在临床推广应用。
Abstract
【Abstract】 Objective To investigate the clinical efficacy of paroxetine combined with duloxetine in the treatment of depression with somatization disorder. Methods Thirty patients with depression and somatosensory disorder were enrolled in the SCL-90 and Znug Depression Self-Rating Scale (SDS). The patients were randomly divided into treatment group and control group (n = 15) Given oral paroxetine + duloxetine and oral duloxetine treatment, 4 weeks for a course of treatment. The patients SCL-9 and SDS scores were measured before and 4 weeks after treatment. Results There was no significant difference in SCL-9 and SDS scores between the two groups before treatment (P> 0.05). ② After 4 weeks of treatment, the SDS score of the treatment group was lower than that of the control group, the difference was statistically significant (P <0 (P <0.05). (3) After treatment for 4 weeks, the SCL-9 score of the treatment group was lower than that of the control group, the difference was statistically significant (P <0.05), and the difference was statistically significant (P <0.05). The scores of SCL-9 in the two groups were lower than those before treatment (P <0.05). Conclusion Paroxetine combined with duloxetine can improve the depression and somatization disorder, which is worthy of clinical application.
关键词
【关键词】 ;帕罗西汀;度洛西汀;抑郁;躯体化障碍
KeyWord
【Key words】 Paroxetine; Duloxetine; Depression; Somatization disorder
基金项目
页码 622-624
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刘燕*,袁训初,朱宏伟,张振毅. 帕罗西汀联合度洛西汀对于抑郁伴躯体化障碍患者的临床效果 [J]. 国际精神病学杂志. 2017; 44; (4). 622 - 624.

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