艾司西酞普兰与帕罗西汀对精神分裂症后抑郁障碍的疗效对比研究

A comparative study of efficacy of Escitalopram and Paroxetine in the treatment of Post-schizophrenic depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(3)
作者
作者单位

山东省日照市精神卫生中心 ;

摘要
【摘要】目的对比艾司西酞普兰与帕罗西汀对精神分裂症后抑郁障碍患者的临床疗效,以指导临床治疗疾病。方法纳入2013年10月至2015年10月于我院住院治疗的精神分裂症后抑郁患者80例,随机均分为2组:均维持原抗精神病药物治疗,在此基础上,观察组应用艾司西酞普兰;对照组应用帕罗西汀。持续用药8周,在用药0周、1周、2周、4周、8周以简明精神病评定量表(BPRS)及汉密尔顿抑郁量表(HAMD)评价疗效、以不良反应量表(TESS)评价不良反应。结果所有患者用药期间BPRS、HAMD评分均呈下降趋势,与用药0周相比,差异有显著性意义(P<0.05);2组BPRS评分对比,各时刻均无明显差异(P>0.5);观察组用药1周HAMD评分明显低于对照组,组间差异有显著性意义(P<0.05),其它时刻组间对比无明显差异(P>0.05);2组均有少量轻微不良反应,总不良反应发生率无明显差异(P>0.05),观察组性功能障碍发生率明显低于对照组(P<0.05)。结论艾司西酞普兰与帕罗西汀均是治疗精神分裂症后抑郁障碍的有效药物,但艾司西酞普兰起效更快、对性功能影响更小,更具普遍推广意义。
Abstract
【Abstracts】ObjectiveTo compare Escitalopram and Paroxetine on the clinical efficacy of patients with post-schizophrenic depression. Methods 80 cases of patients with post-schizophrenic depression, who were recruited from October 2013 to October 2015 in our hospital, were randomly divided into 2 groups: They were maintained the original antipsychotic drug treatment, on this basis, the observation group was applied escitalopram; The control group was treated with paroxetine. They were given continuous medication for 8 weeks, and at 0 week , 1 week, 2 weeks, 4 weeks, 8 weeks of using medicine, efficacy was evaluated by Brief Psychiatric Rating Scale (BPRS) and Hamilton Depression Rating Scale (HAMD) and adverse reaction was evaluated by adverse reaction scale (TESS). Results All patients during the medication period HAMD, BPRS score showed a downward trend, and there was a significant difference (P < 0.05) compared with 0 week of administration; Difference had significant significance (P<0.05); There were no significant differences in BPRS score for two groups at each time (P>0.5);HAMD score of the observation group after 1 week of administration was significantly lower than that of the control group, there was significant difference between the groups (P < 0.05),and there was no significant difference between groups at other time (P>0.5);There was a small amount of adverse reaction between 2 groups , the total incidence of adverse reaction had no significant difference (P > 0.05). The incidence of sexual dysfunction of the observation group was significantly lower than that of the control group (P < 0.05).Conclusion Ai Sciplan and Pa Rossi Dean are reliable drugs for the treatment of depression disorder after schizophrenia, but Ai Sciplan works faster, the impact on sexual function is lighter, it has more universal significance.
关键词
【关键词】精神分裂症后抑郁障碍;艾司西酞普兰;帕罗西汀;精神病
KeyWord
【key words】Post schizophrenia depression; Escitalopram; Pa Rossi Dean; Mental illness
基金项目
页码 421-423
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毛丽*. 艾司西酞普兰与帕罗西汀对精神分裂症后抑郁障碍的疗效对比研究 [J]. 国际精神病学杂志. 2016; 43; (3). 421 - 423.

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