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米氮平联合帕罗西汀对慢性脑供血不足伴焦虑抑郁患者的疗效观察 被引量:13
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作者 刘星亮 岳秉宏 +1 位作者 范磊 潘妍婷 《陕西医学杂志》 CAS 2017年第4期525-526,共2页
目的:探讨米氮平联合帕罗西汀治疗慢性脑供血不足伴焦虑抑郁的疗效与安全性。方法:选择慢性脑供血不足伴焦虑、抑郁患者124例,随机分为观察组与对照组各62例,观察组采用米氮平联合帕罗西汀治疗,对照组单用帕罗西汀治疗,疗程4周。于治疗... 目的:探讨米氮平联合帕罗西汀治疗慢性脑供血不足伴焦虑抑郁的疗效与安全性。方法:选择慢性脑供血不足伴焦虑、抑郁患者124例,随机分为观察组与对照组各62例,观察组采用米氮平联合帕罗西汀治疗,对照组单用帕罗西汀治疗,疗程4周。于治疗前、后采用17项汉密尔顿抑郁量表(HAMD17)、焦虑量表(SAS)、简易精神状态检查量表(MMSE)和临床神经功能缺损量表(CSS)评定疗效及不良反应。结果:观察组治疗后2周、4周的HAMD评分均低于对照组同期(P<0.05)。观察组治疗后2周、4周的SAS评分均低于对照组同期(P<0.05)。治疗后观察组的MMSE评分较对照组高(P<0.05),观察组的CSS评分较对照组低(P<0.05)。观察组的总有效率(72.58%)高于对照组(62.90%)(P<0.05)。观察组不良反应发生率(20.97%)低于对照组(30.64%)(P>0.05)。结论:米氮平联合帕罗西汀治疗慢性脑供血不足伴焦虑抑郁患者,效果显著且安全性高。 展开更多
关键词 脑缺血/并发症 焦虑/药物疗法 抑郁症/药物疗法 @米氮平 @帕罗西汀
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Modulation of the suppressive effect of corticosterone on adult rat hippocampal cell proliferation by paroxetine 被引量:1
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作者 邱光 Daiga M.HELMESTE +4 位作者 Asanka N.SAMARANAYAKE 刘汇文 李湄珍 邓兆华 苏国辉 《Neuroscience Bulletin》 SCIE CAS CSCD 2007年第3期131-136,共6页
Objective The literature has shown that cognitive and emotional changes may occur after chronic treatment with glucocorticoids. This might be caused by the suppressive effect of glucocorticoids on hippocampal neurogen... Objective The literature has shown that cognitive and emotional changes may occur after chronic treatment with glucocorticoids. This might be caused by the suppressive effect of glucocorticoids on hippocampal neurogenesis and cell proliferation. Paroxetine, a selective serotonin reuptake transporter, is a commonly used antidepressant for alleviation of signs and symptoms of clinical depression. It was discovered to promote hippocampal neurogenesis in the past few years and we wanted to investigate its interaction with glucocorticoid in this study. Methods Adult rats were given vehicle, corticosterone, paroxetine, or both corticosterone and paroxetine for 14 d. Cell proliferation in the dentate gyrus was quantified using 5-bromo-2-deoxyuridine (BrdU) immunohistochemistry. Results The corticosterone treatment suppressed while paroxetine treatment increased hippocampal cell proliferation. More importantly, paroxetine treatment could reverse the suppressive effect of corticosterone on hippocampal cell proliferation. Conclusion This may have clinic application in preventing hippocampal damage after glucocorticoid treatment. 展开更多
关键词 PAROXETINE BROMODEOXYURIDINE CORTICOSTERONE hippocampus cell proliferation NEUROGENESIS
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