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艾司西酞普兰联合舍曲林治疗心内科门诊焦虑/抑郁患者的疗效分析 被引量:9
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作者 刘琴 彭楠茵 +5 位作者 张雅楠 金超 龚山 宁亮 肖轶 余国龙 《中国现代医学杂志》 CAS 北大核心 2022年第2期64-68,共5页
目的探讨艾司西酞普兰与舍曲林治疗心内科门诊焦虑/抑郁患者的临床疗效及安全性。方法选取2018年8月—2019年4月中南大学湘雅医院心内科门诊中100例心理障碍并躯体化症状患者。根据不同治疗方法将患者分为艾司西酞普兰组与舍曲林组,分... 目的探讨艾司西酞普兰与舍曲林治疗心内科门诊焦虑/抑郁患者的临床疗效及安全性。方法选取2018年8月—2019年4月中南大学湘雅医院心内科门诊中100例心理障碍并躯体化症状患者。根据不同治疗方法将患者分为艾司西酞普兰组与舍曲林组,分别采用艾司西酞普兰与舍曲林治疗,疗程8周。治疗前与治疗后第4周、第8周采用患者健康问卷躯体症状群量表(PHQ-15)、广泛性焦虑量表(GAD-7)和患者健康问卷抑郁症状群量表(PHQ-9)评定临床症状,治疗第8周采用临床疗效总评量表(CGI-GI)、副反应量表(TESS)进行疗效和副反应评定。结果两组患者治疗前、治疗后第4周、治疗后第8周PHQ-15评分比较,经重复测量设计的方差分析,结果:(1)不同时间点的PHQ-15评分有差异(F=242.604,P<0.05);(2)两组患者PHQ-15评分有差异(F=1.207,P<0.05);(3)两组患者PHQ-15评分的变化趋势无差异(F=2.400,P<0.05)。两组患者治疗前、治疗后第4周、治疗后第8周PHQ-9评分的比较,经重复测量设计的方差分析,结果如下:(1)不同时间点的PHQ-9评分有差异(F=136.784,P<0.05);(2)两组患者PHQ-9评分无差异(F=2.016,P<0.05);(3)两组患者PHQ-9评分的变化趋势有差异(F=4.013,P<0.05)。两组患者治疗前、治疗后第4周、治疗后第8周GAD-7评分比较,经重复测量设计的方差分析,结果如下:(1)不同时间点的GAD-7评分有差异(F=198.537,P<0.05);(2)两组患者GAD-7评分有差异(F=6.606,P<0.05);(3)两组患者GAD-7评分的变化趋势有差异(F=9.774,P<0.05)。艾司西酞普兰组治疗后第8周的CGI-GI较舍曲林组低(P<0.05)。两组患者治疗后第8周的TESS各指标比较,差异无统计学意义(P>0.05)。两组间因副反应的退出试验率比较,差异无统计学意义(P>0.05)。结论艾司西酞普兰与舍曲林治疗心内科门诊焦虑/抑郁患者并躯体化症状均有显著疗效及良好的安全性,但与舍曲林相比较,艾司西酞普兰疗效更加显著,且安全性相同。 展开更多
关键词 心血管疾病 焦虑 抑郁 治疗结果
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Effects of exercise on neurogenesis in the dentate gyrus and ability of learning and memory after hippocampus lesion in adult rats 被引量:11
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作者 Lin CHEN shan gong +6 位作者 Li-Dong shan Wei-Ping XU Yue-Jin ZHANG Shi-Yu GUO Tadashi Hisamitsu Qi-Zhang YIN Xing-Hong JIANG 《Neuroscience Bulletin》 SCIE CAS CSCD 2006年第1期1-6,共6页
Objective To explore the effects of exercise on dentate gyrus (DG) neurogenesis and the ability of learning and memory in hippocampus-lesioned adult rats. Methods Hippocampus lesion was produced by intrahippocampal mi... Objective To explore the effects of exercise on dentate gyrus (DG) neurogenesis and the ability of learning and memory in hippocampus-lesioned adult rats. Methods Hippocampus lesion was produced by intrahippocampal microinjection of kainic acid (KA). Bromodeoxyuridine (BrdU) was used to label dividing cells. Y maze test was used to evaluate the ability of learning and memory. Exercise was conducted in the form of forced running in a motor-driven running wheel. The speed of wheel revolution was regulated at 3 kinds of intensity: lightly running, moderately running, or heavily running. Results Hippocampus lesion could increase the number of BrdU-labeled DG cells, moderately running after lesion could further enhance the number of BrdU-labeled cells and decrease the error number (EN) in Y maze test, while neither lightly running, nor heavily running had such effects. There was a negative correlation between the number of DG BrdU-labeled cells and the EN in the Y maze test after running. Conclusion Moderate exercise could enhance the DG neurogenesis and ameliorate the ability of learning and memory in hippocampus-lesioned rats. 展开更多
关键词 神经发生 脑回齿 学习能力 记忆能力 海马神经 小鼠 动物实验
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Apoptosis and autophagy control cell proliferation in the dentate gyrus following hippocampal lesion
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作者 Ju Zhou Wei Peng +5 位作者 Qi Zhu shan gong Lidong shan Tadashi Hisamitsu Shiyu Guo Xinghong Jiang 《Neural Regeneration Research》 SCIE CAS CSCD 2010年第20期1541-1547,共7页
Brain injuries often result in the promotion of cell proliferation in the hippocampal dentate gyrus(DG),but the number of newborn cells declines with time.However,the cause of this decline remains poorly understood.... Brain injuries often result in the promotion of cell proliferation in the hippocampal dentate gyrus(DG),but the number of newborn cells declines with time.However,the cause of this decline remains poorly understood.Elucidation of the fate of these newborn cells will further the understanding of the pathological process and treatment of brain injury.In the present study,the number of newborn cells was quantitatively analyzed using an unbiased stereological method following hippocampal lesion by kainic acid,in combination with detection of apoptosis and autophagy.Results revealed that hippocampal lesion resulted in a significantly increased number of 5-bromo-2-deoxyuridine(BrdU)-positive cells in the DG,which subsequently decreased with time.BrdU/cleaved caspase-3 double-labeled cells were detected in the granular cell layer and hilus of DG.However,expressions of LC3-11,Beclin 1,and p53 were upregulated,and pro-caspase-3 and Bcl-2 were downregulated.Results indicated that hippocampal lesion in adult rats resulted in significant cell proliferation in the DG,which subsequently reduced with time.In addition,results suggested that apoptosis and autophagic processes could regulate cell proliferation in the DG following hippocampal lesion. 展开更多
关键词 cell proliferation NEUROGENESIS dentate gyrus APOPTOSIS AUTOPHAGY programmed cell death neural regeneration
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