度洛西汀肠溶片联合加巴喷丁胶囊治疗躯体形式疼痛障碍疗效分析

Analysis of duloxetine enteric coated tablets combined with gabapentin capsules in the treatment of somatoform pain disorder effect

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(1)
作者
作者单位

广西脑科医院心理科一病区 ;
广西脑科医院心理科九病区 ;

摘要
摘要:目的:观察度洛西汀肠溶片联合加巴喷丁胶囊治疗躯体形式疼痛障碍的临床治疗效果,为临床治疗此类疼痛提供一种可行的治疗方法。方法:将持续性躯体形式疼痛障碍的80例患者,随机分为研究组和对照组,分别使用度洛西汀肠溶片联合加巴喷丁胶囊和单用使用度洛西汀肠溶片进行治疗,使用视觉模拟评分(Visual Analogue Scale/Score, VAS评分)对患者治疗前以及治疗后2,4,6周的疼痛状况进行评定,并对患者的治疗效果采用使用生活质量评分(Karnofsky评分)进行评定。结果:与治疗前相比,对照组和研究组治疗后2周、4周、8周VAS评分明显降低,且均具有统计学意义(P<0.05)。通过组间比较发现从治疗后第2周开始,研究组VAS评分明显低于对照组,差异具有统计学意义(P<0.05)。生活质量Karnofsky评分结果发现,两组治疗后均明显高于治疗前(P<0.05),且从治疗后第2周期,存在显著组间差异(P<0.05)。单独使用度洛西汀肠溶片有效率达到67.5%(27/40),联合用药有效率得到82.5%(33/40)。结论:度洛西汀肠溶片联合加巴喷丁胶囊治疗躯体形式疼痛障碍具有良好的治疗效果,起效快,不良反应较为轻微。
Abstract
【Abstract】Objection: To investigate the clinical therapeutic effect of duloxetine enteric coated tablets combined with gabapentin capsule in the treatment of somatoform pain disorder provide a feasible treatment method for the clinical treatment of this kind of pain.Methods: Will continue of somatoform pain disorder of 80 patients, were randomly divided into study group and control group, respectively, the use of duloxetine enteric coated tablets combined with gabapentin capsules and single charge of duloxetine enteric coated tablets for treatment, before treatment and 2,4 and 6 weeks after treatment pain status was assessed using the Visual Analogue Scale/Score and therapeutic effect on patients by Karnofsky score of quality of life was evaluated.Results: Compared with before treatment, the control group and study group 2 weeks, 4 weeks, 8 weeks, VAS scores were significantly lower, and all have statistical significance (P < 0.05). From second weeks after treatment, the VAS score of the study group was significantly lower than that of the control group, the difference was statistically significant (P < 0.05). Karnofsky score of quality of life found that the two groups after treatment were significantly higher than before treatment (P < 0.05), and from the second cycles after treatment, there were significant differences between groups (P < 0.05). The use of alone duloxetine enteric coated tablets efficiency reached 67.5% (27 / 40) and combined treatment effective rate of 82.5%(33/40).Conclusion: Duloxetine enteric coated tablets combined with gabapentin capsule in the treatment of somatoform pain disorder has a good therapeutic effect, rapid onset, adverse reactions of relatively minor.
关键词
关键词:度洛西汀肠溶片;加巴喷丁胶囊;躯体形式疼痛障碍
KeyWord
【Keywords】Duloxetine enteric coated tablets; Gabapentin; Somatoform pain disorder
基金项目
页码 75-78
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潘江艳*,杨盼,韦鑫,黄海燕. 度洛西汀肠溶片联合加巴喷丁胶囊治疗躯体形式疼痛障碍疗效分析 [J]. 国际精神病学杂志. 2017; 44; (1). 75 - 78.

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