氟西汀合并齐拉西酮治疗首发脑卒中后抑郁症的临床疗效及安全性研究
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摘要
目的:观察氟西汀联合小剂量齐拉西酮治疗首发脑卒中后抑郁症的疗效和副反应情况。方法:90例首发脑卒中后抑郁症患者被随机分为氟西汀组和治疗组(氟西汀联合小剂量齐拉西酮组),疗程6周。于治疗前和治疗第1、2、4、6周末分别采用汉密尔顿抑郁量表(HAMD)评定疗效和副反应量表(TESS)评定患者的副反应情况。结果:治疗6周末,氟西汀组的显效率为60%,而治疗组的显效率为80%,两者相比有统计学差异(P<0.05)。治疗第1、2、4周末,治疗组HAMD评分显著低于氟西汀组,两者相比有统计学差异(P<0.05),不良反应均较轻。结论:氟西汀合并小剂量齐拉西酮治疗脑卒中后抑郁比单纯应用氟西汀起效快,疗效好,不良反应轻,安全性高,依从性好。
Objective To investigate the clinical effect and side effects of fluoxetine plus low dose aripirazole in treating inpatients with first-episode poststroke depression.Methods Ninety inpatients with poststroke depression were randomly divided into control group(fluoxetine)and combined group(fluoxetine plus low-dose ziprasidone).The course of treatment was 6 weeks.The efficacy and side effects were assessed by HAMD and TESS before treatment and at the end of 1 st,2nd,4th and the 6th week after treatment.Results After 6 weeks,the improved rates were 80%in combined group and60%in control group,there was significant difference between two groups(P<0.05).At the end of 1 st,2nd and the 4th weeks,The scores of HAM D showed significant differences(P<0.05)The side effects in two groups were few.Conclusion Fluoxetine plus low dose ziprasidone has better effect and takes into effect earlier,and with lower incidences of adverse reactions,higher safety and better compliance for patients with poststroke depression.
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