普拉克索联合艾司西酞普兰治疗帕金森病轻度认知障碍伴发抑郁的临床研究

Clinical effects for the patients with parkinsons disease, mild cognitive impairment and depression by pramipexole combine with escitalopram

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(5)
作者
作者单位

山东省邹城市人民医院 ;
济宁医学院 ;

摘要
摘要 探讨普拉克索联合艾司西酞普兰治疗帕金森病轻度认知障碍伴发抑郁的临床效果。方法 按照入院顺序随机将我院2014年2月至2015年2月收治的80例帕金森病轻度认知障碍伴发抑郁的患者均分为实验组和对照组,对照组患者给予普拉克索治疗,实验组患者在此基础上加用艾司西酞普兰,比较2组治疗效果。结果 实验组患者治疗后8周精神、行为和情绪、日常活动和运动功能评分以及PDQ-39评分均显著低于对照组,差异有统计学意义(P<0.05);实验组患者治疗后4周、8周HAMD评分均显著低于对照组,差异有统计学意义(P<0.05);实验组患者临床控制率和总有效率均显著高于对照组,差异有统计学意义(P<0.05);2组患者不良反应发生率对比,差异无统计学意义(P>0.05)。结论 普拉克索联合艾司西酞普兰治疗帕金森病轻度认知障碍伴发抑郁临床疗效显著,能够有效改善患者抑郁状态和帕金森病病情,可作为优选治疗方案。
Abstract
Abstract Objective To explore the clinical effects for the patients with parkinsons disease, mild cognitive impairment and depression by pramipexole combine with escitalopram. Methods 80 cases of patients with parkinsons disease, mild cognitive impairment and depression were randomly divided into experiment group and control group, the control group were treated by pramipexole, the experiment group were treated by pramipexole combine with escitalopram. The clinical effects were compared. Results The scores of moral, behavior and emotional, daily activity, motor function, PDQ-39 scores for the experiment group were lower than the control group(P<0.05); The scores of HAMD for the experiment group were lower than the control group(P<0.05); The control rate, total effective rate for the experiment group were higher than the control group(P<0.05); There has no significant difference on the rate of adverse reactions(P>0.05). Conclusion It has good clinical effects for the patients with parkinsons disease, mild cognitive impairment and depression by pramipexole combine with escitalopram, it can improve the depression and parkinsoncs disease, it can be used as optimal treatment plan.
关键词
关键词 普拉克索;艾司西酞普兰;帕金森病;认知障碍;抑郁
KeyWord
Keywords pramipexole; escitalopram; parkinsoncs; cognitive function; depression
基金项目
页码 813-816
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杨秀芹*,宋传鹏,王芳,杨运栩. 普拉克索联合艾司西酞普兰治疗帕金森病轻度认知障碍伴发抑郁的临床研究 [J]. 国际精神病学杂志. 2016; 43; (5). 813 - 816.

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