摘要
目的:评价帕罗西汀联用心理干预治疗抑郁症的疗效及其安全性。方法:通过检索近15年Cochrane Library、Pubmed、Web of Science、Embase、Medline、中国生物医学文献数据库(CBM)、中国学术期刊全文数据库(CNKI)、万方数据库(CECDB)、维普中文科技期刊全文数据库(CQVIP),对纳入研究的方法学进行评价,对文献质量进行严格评价和资料提取,对符合质量标准的RCT用Review manager5.0软件进行Meta分析。结果:5个RCT共413名患者纳入研究,其中治疗组(帕罗西汀联用心理干预治疗)206例,对照组(普通心理治疗、氟西汀、西酞普兰)207例。Meta分析结果表明治疗组患者住院时间、自杀风险、出现强迫症状方面明显低于对照组,具有统计学差异。结论:相比常规治疗,帕罗西汀联用心理干预治疗可显著提升抑郁症患者的疗效。
Objective : Evaluation of the effects of psyehologieal intervention combined with paroxetine treatment of depression in patients with efficacy and safety. Methods: Searching Cochrane Library,Puhmed,Web of Science ,Embase ,Medline ,CBM ,CNKI, CECDB ,CQVIP, using Review Manager 5.0 Software for Meta-analysis of RCT for analysis. Results: 5 RCT of 413 patients includ- ed in the study, in 206 eases tile treatment group (psychological intervention in conjunction with paroxetine treatment), 207 eases in the control group (ordinary psychotherapy, fluoxetine, citalopram). Meta-analysis resuhs showed that the patients treated with duration of hospitalization, risk of suicide, obsessive-compulsive symptoms was significantly lower than the control group, statistical- ly significant. Conclusion: Compared to conventional therapy, psychological intervention plus paroxetine treatment can significantly improve the curative effects in patients with depression.
出处
《中国药物评价》
2012年第2期155-159,共5页
Chinese Journal of Drug Evaluation
关键词
心理干预
帕罗西汀
抑郁症
META分析
Psychological intervention
Paroxetine
Depression
Meta-analysis