西酞普兰与米安舍林治疗老年抑郁症的对照研究.pdf
中国实用医药2010年1月第5卷第2期CHINAPRACMED,JAN2010.VO1.5.NO.2西酞普兰与米安舍林治疗老年抑郁症的对照研究贾金鼎郭平【摘要】目的比较西酞普兰与米安舍林治疗老年抑郁症的疗效及安全性。方法选择符合人组条件的78例抑郁症患者,随机分为两组,分别给予西酞普兰与米安舍林治疗,疗程8周,采用汉密尔顿抑郁量表HAMD及汉密尔顿焦虑量表HAMA在治疗前及治疗的2468周评定药物疗效;用副反应量表TESS评定不良反应。结果西酞普兰组与米安舍林组总体疗效相当,疗后HAMD和HAMA总分均有显著减少,西酞普兰组起效快,不良反应轻,安全性好。结论西酞普兰治疗老年抑郁症安全有效,并且起效快。不良反应轻。【关键词】西酞普兰;米安舍林;老年抑郁症COMPARATIVESTUDYOFCIRALOPRAMANDMIANSERININTHETREATMENTOFDEPRESSIONJIAJINDING,GUOPING.ZHUMADIANCITYSMENTALHOSPITAZ.HENAN463000,CHINA【ABSTRACT】0BJECTIVETOEXPLORECLINICALEFFICACYANDSAFELYOFCITALOPRAMANDMIANSERININTHETREATMENTOFDEPRESSION.METHODSSIXTYEIGHTPATIENTSWITHDEPRESSIONWERETREATEDRANDOMLYWITHCITALOPRAMORMIANSERINFORSIXWEEKS,ANDMEASUREDWITHHAMILTONDEPRESSIVESCALEHAMD,HAMILTONANXIETYSCALEHAMAANDTREATMENTEMERGENTSYMPTOMSCALETESSBEFORETREATMENTAND,2,4,6,8WEEKSAFTERTREATMENT.RESUITSTHEBOTHDRUGSWERESIMILARINEFFICACY.THESIDEEFFECTSOFBOTHWERELESS.CONCLUSIONSCITALOPRAMANDMIANSERINAREBOTHEFFECTIVEANDSAFEANTIDEPRESSANTS.【KEYWORDSCITALOPRAM;MIANSERIN;SENILEDEPRESSION为探讨