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氯米帕明合并利培酮治疗强迫症的对照研究

Curative Effect of Clomipramine with Risperidone on Obsessive-Compulsive Disorder

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【作者】 童庆好张颖江爱国

【Author】 TONG Qing-hao,ZHANG Ying,JIANG Ai-guo.Department of Psychiatry,the Second People’s Hospital of Lu’an,Anhui 237008,China

【机构】 安徽省六安市第二人民医院精神科

【摘要】 目的探讨利培酮对于氯米帕明治疗强迫症的增效作用。方法将50例强迫症随机分为两组,氯米帕明与利培酮组及单独使用氯米帕明组,均治疗8周。采用强迫症量表(Y-BOCS)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评定疗效。结果合并利培酮组有24例完成试验,氯米帕明组有25例完成试验。治疗8周后,两组Y-BOCS平均总分有明显下降,合并利培酮组优于氯米帕明组,两组差异有统计学意义(P<0.05);HAMA、HAMD的评分均显著下降,两组差异无统计学意义(P>0.05)。结论合并利培酮对于氯米帕明治疗强迫症有增效作用。

【Abstract】 Objective To investigate the synergistic action of risperidone and clomipramine on obsessive-compulsive disorder(OCD).Methods 4 patients with OCD were treated by risperidone combining with clomipramine and 25 patients were treated by clomipramine for 8 weeks.The curative efficacy was measured with Yale-Brown obsessive compulsive scale(Y-BOCS),Hamilton anxiety scale(HAMA) and Hamilton depression scale(HAMD).Results After 8 weeks,there were significant differences in overall response showed by the reduction rate of Y-BOCS total scores,but not in HAMA and HAMD total scores between both groups.Conclusion Risperidone has additive effect on curative effects of clomipramine on OCD.

【关键词】 利培酮氯米帕明强迫症
【Key words】 RisperidoneClomipramineObsessive-compulsive disorder
  • 【文献出处】 中华全科医学 ,Chinese Journal of General Practice , 编辑部邮箱 ,2009年02期
  • 【分类号】R749.76
  • 【被引频次】3
  • 【下载频次】71
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