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艾司西酞普兰与帕罗西汀治疗抑郁症的对照研究

A controlled clinical study on efficacy of escitalopram and paroxetine in treatment of depression

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【作者】 丘春柳

【Author】 QIU Chun-liu.The First Affiliated Hospital of Shantou University Medical College,Shantou,Guangdong 515041,China

【机构】 汕头大学医学院第一附属医院心理科

【摘要】 目的探讨艾司西酞普兰和帕罗西汀治疗抑郁症的疗效及安全性。方法将76例抑郁症患者随机分为艾司西酞普兰组(38例,10~20 mg/d)和帕罗西汀组(38例,20~40 mg/d),疗程各8周。分别采用汉密尔顿抑郁量表17项、临床整体量表-疗效总评估量表评定疗效,不良反应症状量表评定不良反应。结果两组疗效相当(P>0.05),但艾司西酞普兰组起效更快,不良反应更少(P<0.05)。结论艾司西酞普兰是一种理想的抗抑郁药。

【Abstract】 Objective To explore the efficacy and safety of escitalopram and paroxetine in treatment of patients with depression.Methods Seventy six patients with depression were randomly assigned into 2 groups: 38 cases in escitalopram group were treated with 10 ~ 20 mg / d and 38 cases in paroxetine group treated with 20 ~ 40 mg / d,the treatment course in each group was 8 weeks.HAMD17 and CGI-SI were applied for evaluation of efficacy,and TESS was applied for evaluation of adverse events.Results Escitalopram and paroxetine have similar therapeutic efficacy(P > 0.05),and escitalopram has faster action than that of paroxetine(P < 0.05).The incidence of adverse events in patients of escitalopram group is less than that of patients in paroxetine group(P < 0.05).Conclusion Escitalopram is an ideal antidepressant.

【关键词】 抑郁症艾司西酞普兰帕罗西汀
【Key words】 DepressionEscitalopramParoxetine
【基金】 汕头市重点科技计划项目[2011]46号
  • 【文献出处】 临床和实验医学杂志 ,Journal of Clinical and Experimental Medicine , 编辑部邮箱 ,2013年11期
  • 【分类号】R749.4
  • 【被引频次】13
  • 【下载频次】46
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