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利培酮联合文拉法新治疗抑郁症的临床研究
引用本文:周小东,丁永涛,李秀珍,张大振,王振田,刘知源.利培酮联合文拉法新治疗抑郁症的临床研究[J].华北国防医药,2004,16(2):85-86.
作者姓名:周小东  丁永涛  李秀珍  张大振  王振田  刘知源
作者单位:解放军467医院精神三科 河北正定050800 (周小东,丁永涛,李秀珍,张大振,王振田),解放军467医院精神三科 河北正定050800(刘知源)
摘    要:目的 :了解利培酮合并文拉法新治疗抑郁症的效果。方法 :将符合CCMD 3抑郁症诊断标准的患者 13 4名 ,随机分为 2组 ,分别给予利培酮合并文拉法新与文拉法新单独治疗 9周。用HAMD及HAMA两种量表作为疗效评判观察表 ,同时用TESS量表观察不良反应。结果 :两组间HAMD和HAMA在第 2、4、6周末减分率比较均有显著性差异 (P <0 0 1,P <0 0 5 ) ,在第 9周时的减分率比较则差异不明显。 2组间TESS比较差异均不明显。结论 :利培酮合并文拉法新治疗抑郁症的疗效优于单纯运用文拉法新 ,其主要优点为起效早 ,且不良反应少

关 键 词:抑郁症  药物疗法  联合  利培酮  文拉法新  药物评价  受体  血清素
文章编号:1009-0878(2004)02-0085-02
修稿时间:2003年12月1日

Clinical study on treatment of depression with Risperidone combined with Venlafaxine
ZHOU Xiao dong,DING Yong tao,Li Xiu zhen,ZHANG Da zhen,WANG Zhen tian,LIU Zhi yuan.Clinical study on treatment of depression with Risperidone combined with Venlafaxine[J].Medical Journal of Beijing Military Region,2004,16(2):85-86.
Authors:ZHOU Xiao dong  DING Yong tao  Li Xiu zhen  ZHANG Da zhen  WANG Zhen tian  LIU Zhi yuan
Abstract:Objective:To determine the clinical efficacy of Risperidone combined with Venlafaxine in treatment of depression.Methods:134 patients with depression diagnosed according to CCMD 3 were randomly assigned into two groups,one was treated with Venlafaxine alone and the other was with Risperidone combined with Venlafaxine for 9 weeks in order to evaluate the clinical efficacy and side effects with HAMD,HAMA and TESS after 2,4,6,9 weeks of the treatment.Results:There were significant differences in the decreased scores of HAMD,HAMA between the towo groups after 2,4,6 weeks of the treatment respectievely( P <0 01 AND P <0 05),wheras no difference was noted after 9 weeks.There was no difference in scores of TESS between the two groups after 2,4,6,9 weeks of treatment.Conclusions:Combination of Risperidone with Venlafaxine brought about a much better reponse than Venlafaxine alone.The advantages included: early response and fewer side effects.
Keywords:Deression  Pharmaceutical treatment  Risperidone  Venlafaxine  Drug evaluation  Receptor  Serotonin
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