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Effect of Tian Meng Capsules combined with Sertraline Hydrochloride Tablets in the treatment of post-stroke depression |
PANG Zhaofeng1 XU Wuhua1 WU Wanxia1 ZHU Donglin2 CHEN Haishan1 ZHOU Huiyi1 |
1.Rehabilitation Department, Guangzhou Red Cross Hospital (Guangzhou Red Cross Hospital Affiliated to Medical College of Ji'nan University), Guangdong Province, Guangzhou 510220, China;
2.Laboratory Department, the Third Affiliated Hospital of Sun Yat-sen University, Guangdong Province, Guangzhou 510000, China |
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Abstract Objective To explore the clinical efficacy of Tian Meng Capsules combined with Sertraline Hydrochloride Tablets in the treatment of post-stroke depression (PSD). Methods Ninety-five patients with PSD who were admitted to Guangzhou Red Cross Hospital from January to November 2018 were selected as subjects. The patients were divided into control group (47 cases) and study group (48 cases) by random number table method. The control group was given Sertraline Hydrochloride Tablets, the study group was given Tian Meng Capsules combined with Sertraline Hydrochloride Tablets. The clinical efficacy, serum 5-hydroxytryptamine (5-HT), brain-derived neurotrophic factor (BDNF), depression and anxiety, sleep quality and adverse reactions were compared between the two groups. Results The total clinical effective rate in the study group was higher than that in the control group (P < 0.05). After treatment, the levels of 5-HT and BDNF in the study group were higher than those in the control group (P < 0.05). The scores of Hamilton depression scale, Hamilton anxiety scale and Pittsburgh sleep quality index in the study group were lower than those in the control group (P < 0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P > 0.05). Conclusion Tian Meng Capsules combined with Sertraline Hydrochloride Tablets is effective in the treatment of PSD. It can improve depression and anxiety, and enhance sleep quality, the adverse reactions are low. It can be widely used in clinic.
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[1] Paolucci S. Advances in antidepressants for treating post-stroke depression [J]. Expert Opin Pharmacother,2017,18(10):1011-1017.
[2] 祁国新,赵桂珍,王东雁,等.解郁宁心胶囊治疗脑卒中后抑郁症50例疗效观察[J].国际中医中药杂志,2014, 36(3):251-253.
[3] 洪云军,徐平,高云春,等.常德地区脑卒中后抑郁症调查及相关因素分析[J].医学临床研究,2013,30(5):944-946.
[4] 江永美,潘小明,王慧玲,等.柴胡舒肝丸辅助艾司西肽普兰治疗老年女性脑卒中后抑郁症的临床疗效研究[J].实用药物与临床,2019,22(3):299-302.
[5] 聂容荣,莫碧文,曾伟星,等.针灸对脑卒中后抑郁症患者血清5-HT、NE和BDNF水平的影响[J].西部医学,2017, 29(6):808-812,816.
[6] 肖展翅,江燕丽.甜梦胶囊联合黛力新治疗慢性失眠症的疗效与安全性[J].中西医结合心脑血管病杂志,2017, 15(5):624-626.
[7] 中华医学会精神科分会.中国精神障碍分类与诊断标准(CCMD-3)[M].济南:山东科学技术出版社,2001:86-87.
[8] 全国第四届脑血管病学术会议.各类脑血管病诊断要点(1995)[J].中华神经科杂志,1996,26(6):379-380.
[9] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:20.
[10] 邓旭瑶,卓恺明,王静华,等.帕罗西汀联合阿普唑仑治疗对老年脑卒中合并焦虑抑郁患者抑郁自评量表、汉密尔顿抑郁量表评分的影响[J].中国老年学杂志,2016, 36(15):3694-3695.
[11] 汤毓华.汉密尔顿焦虑量表(HAMA)[J].上海精神医学,1984(2):64-65.
[12] 路桃影,李艳,夏萍,等.匹兹堡睡眠质量指数的信度及效度分析[J].重庆医学,2014,43(3):260-263.
[13] Bai ZF,Wang LY. Efficacy of sertraline for post-stroke depression:A systematic review protocol of randomized controlled trial [J]. Medicine(Baltimore),2019,98(16):e15299.
[14] 李丕武,王海燕,孙玲,等.舍曲林与帕罗西汀治疗脑卒中后抑郁的疗效与安全性比较[J].中国药房,2017,28(36):5098-5101.
[15] 林法财,黄德弘,秦宇航,等.五行音乐治疗脑卒中后抑郁患者的有效性及安全性研究[J].中国康复医学杂志,2017,32(12):1390-1393.
[16] 李兆生.甜梦胶囊联合帕罗西汀治疗女性更年期广泛性焦虑障碍临床疗效[J].中草药,2017,48(12):2498-2501.
[17] 路煜.甜梦胶囊联合百忧解治疗卒中后抑郁的临床观察[J].中国社区医师,2016,32(11):103-104.
[18] 吉沛,国华.黛力新联合甜梦胶囊治疗脑卒中后抑郁的疗效观察[J].内蒙古医科大学学报,2015,37(1):53-55.
[19] 白树新,李莉,王德斌,等.草酸艾司西酞普兰联合化瘀理气清热汤治疗脑卒中后抑郁疗效及对血清DA、5-HT及NE含量的影响[J].现代中西医结合杂志,2017, 26(15):1644-1646.
[20] 白芷嫣,卞毓彩,朱颖颖,等.基于脑电信号的抑郁情绪倾向研究[J].北京生物医学工程,2018,37(1):21-26.
[21] 戴军,谈伟.盐酸帕罗西汀联合甜梦胶囊治疗脑卒中后抑郁疗效观察[J].中国社区医师,2016,32(17):104,106. |
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