坦度螺酮对焦虑症患者治疗前后额叶神经生化物质的影响分析

The influence of tandospirone treatment on the fronta1 neural biochemical substance in the anxiety patients.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(1)
作者
作者单位

四川省内江市第二人民医院精神科 ;

摘要
探讨坦度壊、西同对焦虑症患者治疗前后额叶神经生化物质的影响 。 方法 选择我院2014年1月至12月接诊的90例焦虑症进行研究,按随机数表法,将其分为观察组和对照组各45例 。 对观察组患者采用坦度對累西同治疗四周, 对照组则采用丁端系环西同进行治疗 。采用 HAMA 焦虑量表及 sAs 焦虑自评表对患者治疗前后进行评定分析, 且采用磁共振质子波谱对患者的额叶皮质各项水平 (NAA、 Cho及 Glx值) 进行评定分析, 在治疗后对两组患者的疗效进行分析, 同时选择本院体检的45例正常患者进行对比。结果两组患者在治疗前的 HAMA及 SAS评分均无显著差异(P>0.05),在治疗后,两组患者的 HAMA及SAS评分均优于治疗前的评分,且观察组患者的评分明显优于对照组患者 (P<0. 05) ; 治疗后观察组患者的 NAA、 Cho及 Glx值均优于对照组(P<0.05);经治疗,观察组患者的总有效率为91.11%,和对照纽(80%)相比,具有显著差异(P<0. 05) 。结论 焦虑症患者在发病期额叶神经元功能异常, 坦度對累西同具有良好的疗效, 患者的依赖性降低, 有效地进行焦虑缓解和情绪调节 。
Abstract
〇bjective To investigate the influence of frontal neural biochemical substances before and aftertreatment with tandospirone for anxiety patients. Methods 90 cases according to a random number table method from January to December in2014 were recruited they were divided into two groups(45 cases for each). The obser_ vation group were treated with tandospirone, control group were used buspirone for treatment. SAS uses HAMA Anx- iety Scale and self-evaluation form after the anxiety of patients before and after treatment were assessed analysis, and proton magnetic resonance spectroscopy was used to evaluate to the level of the prefrontal cortex and hippocampus (NAA, oho and Glx value) of patients, and the treatment effect for two groups were analyzed. 45 normal cases in our hospital were compared with them. Results HAMA and SAS scores of two groups before treatment were not sig- nificantly different(P>0.05) , after treatment, HAMA and SAS scores of both groups were significantly lower than the scores before treatment, and the observation group were significantly lower than the control group(P<0.05). After treatment, NAA, oho and Glx values of observation group were higher than the control group(P<0.05) and the total effective rate of Lhe observaLion group were91. 11%, that was higher Lhan Lhe control group(80%) (P< 0.05). Conclusion Anxiety disorder has neuronal dysfunction in the frontal, tandospirone have a good effect for it, it can decrease dependence of patients and effectively relieve anxiety and mood regulation.
关键词
坦度螺酮;焦虑症;额叶神经生化物质
KeyWord
Tandospirone; Anxiety; Prefronta1 neura1 biochemica1 substances
基金项目
页码 3-6
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官长富*,罗念秀 ,李德川,李先萍,李 萍. 坦度螺酮对焦虑症患者治疗前后额叶神经生化物质的影响分析 [J]. 国际精神病学杂志. 2016; 43; (1). 3 - 6.

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