拉莫三嗪联合草酸艾司西酞普兰治疗脑卒中后癫痫共病抑郁患者的临床研究

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Abstract Objective To explore the clinical effects of Lamotrigine combined with Escitalopram Oxalate in the treatment of post-stroke epilepsy comorbid depression patients. Methods From January 2015 to August 2018, 126 cases of patients with post-stroke epilepsy comorbid depression treated in Nanchong Central Hospital of Sichuan Province were selected as research objects and divided into the control group and the observation group by the method of randomized digital table, with 63 cases in each group. The control group was treated with Lamotrigine, and the observation group was given Lamotrigine combined with Escitalopram Oxalate, for 3 months of treatment. The frequency of seizures, adverse drug reactions, Hamilton depression scale (HAMD), National Institutes of Health Stroke scale (NIHSS), Barthel index (BI) and MMSE scores were compared between the two groups. Results After treatment, the seizure frequency, HAMD and NIHSS scores in the observation group were significantly lower than those before treatment, and lower than the control group (P ＜ 0.05). The MMSE score and BI were significantly higher than those before treatment (P ＜ 0.05), and significantly higher than the control group (P ＜ 0.05). There was no statistically significant difference in the incidence of adverse reactions between the two groups (P ＞ 0.05). Conclusion Lamotrigine combined with Escitalopram Oxalate can not only improve the depressive symptoms, the cognitive function, the neurological function and the quality of life of post-stroke epilepsy comorbid depression patients, but also does not increase the risk of recurrence of epilepsy and has high safety.

Key words： Lamotrigine Escitalopram Oxalate Post-stroke epilepsy Post-stroke depression

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	ZHANG Shanshan JI Yifei ZHANG Yi QU Zhanli ZHOU Huayong

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ZHANG Shanshan JI Yifei ZHANG Yi QU Zhanli ZHOU Huayong. Clinical study of Lamotrigine combined with Escitalopram Oxalate in the treatment of post-stroke epilepsy comorbid depression patients[J]. 中国医药导报, 2019, 16(30): 122-125.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I30/122

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