学术论文

      黛力新联合多虑平治疗心血管疾病焦虑抑郁症状临床研究

      Deanxit combining doxepin for relieving anxiety and depression symptoms of cardiovascular diseases

      摘要:
      目的:应用黛力新和多虑平联合治疗心血管疾病焦虑抑郁症状的患者,研究其疗效。方法入选解放军251医院心内科2013年1~3月的高血压和冠心病焦虑抑郁患者80例。随机分为2组,对照组和治疗组,每组各40例。在常规心血管疾病治疗的基础上,治疗组加服黛力新和多虑平,对照组单纯使用治疗心血管疾病的药物和多虑平或/和苯二氮卓类药物。疗程均为6周,评价临床疗效和不良反应,同时应用汉密尔顿抑郁量表(Hamilton depression scale,HAMD)于治疗前、治疗第6周测评。结果与对照组比较,治疗组无效率降低(25.0%vs.10.0%),差异具有统计学意义(P<0.05)。对照组基本控制20.0%,显效27.5%,有效27.5%,治疗组分别为38.0%,25%,27%。与治疗前比较,治疗组治疗6周后睡眠障碍、迟滞、绝望感三种因子的评分均降低,差异具有统计学意义(P均<0.05)。与对照组比较,治疗组睡眠障碍、迟滞、绝望感三种因子的评分均降低,差异具有统计学意义(P均<0.05)。治疗组2周后出现口干3例,乏力3例,食欲减退3例,腹胀便秘2例,头昏2例,困倦2例。结论黛力新联合多虑平治疗心血管疾病焦虑抑郁症状疗效确切,安全性欠佳。
      Abstract:
      Objective To study the curative effect of deanxit combining doxepin on anxiety and depression symptoms in patients with cardiovascular diseases.Methods The patients (n=80) were chosen from Jan. 2013 to Mar. 2013 and divided randomly into control group and treatment group (eachn=40). The treatment group was given deanxit combining doxepin based on the routine therapy for cardiovascular diseases and control group was only given drugs for cardiovascular diseases and doxepin and/or benzodiazepine for 6 w. The curative effect and adverse reactions were reviewed, and Hamilton Depression Scale (HAMD) was used to detect patients before treatment and on the 6th w after treatment.Results Compared with control group, ineffective rate decreased (25.0%vs. 10.0%, P<0.05) in treatment group. The basic control rate was 20.0%, effectual rate was 27.5% and effective rate was 27.5% in control group, and 38.0%, 25% and 27% in treatment group. The scores of dyssomnia, retardation and hopelessness decreased in treatment group after treatment for 6 w (allP<0.05). Compared with control group the scores of dyssomnia, retardation and hopelessness decreased in treatment group (allP<0.05). In treatment group, there were 3 cases with dry mouth, 3 with fatigue, 3 with anorexia, 2 with abdominal distention and constipation, 2 with dizziness and 2 with tiredness.Conclusion Deanxit combining doxepin has definite curative effect on anxiety and depression symptoms of cardiovascular diseases, but safety is no ideal.
      Author: ZHANG Er-jian TIAN Fu-li ZHANG Bin
      作者单位: 解放军251医院心内科, 张家口,075000
      年,卷(期): 2014, (6)
      分类号: R749.72
      机标分类号: TS2 Q94
      在线出版日期: 2015年1月23日