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1、舒郁膠囊治療血管性抑郁患者隨機(jī)雙盲對(duì)照臨床研究李樂(lè)軍1,2邵鳳揚(yáng)1,2肖輝1,2劉曉麗1,2周永媛1,2許運(yùn)堂1,21江蘇省連云港市中醫(yī)院,江蘇連云港2220042南京中醫(yī)藥大學(xué)連云港附屬醫(yī)院,江蘇連云港222004摘要:目的:觀察舒郁膠囊對(duì)血管性抑郁(vasculardepresion,VD)患者的臨床療效。方法:對(duì)各組試驗(yàn)藥進(jìn)行盲法要求包裝,采用隨機(jī)、雙盲、陽(yáng)性平行對(duì)照法共觀察60例VD患者。治療組30例,服用舒郁膠囊,每次3粒,每日3次,同時(shí)服氟西汀膠囊安慰劑每次1粒,每日1次;對(duì)照組30例,服用氟西汀膠囊每次1
2、粒,每日1次,同時(shí)服舒郁膠囊安慰劑每次3粒,每日3次,連續(xù)治療,兩組總療程均為8周。于服藥前、服藥4周、8周后分別進(jìn)行神經(jīng)心理學(xué)量表評(píng)價(jià)和血脂檢測(cè)分析。結(jié)果:采用舒郁膠囊能降低治療前后HAMD、MMSE、CGI評(píng)分,兩組間比較HAMD、MMSE、CGI的評(píng)分差異有統(tǒng)計(jì)學(xué)意義(P<0.05);同時(shí)也能降低治療組治療8周后NDS評(píng)分及血LDL-C水平(P<0.05),但對(duì)對(duì)照組NDS評(píng)分及血LDL-C水平改善不明顯(P>0.05)。對(duì)兩組治療總有效率比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P>0.05)。結(jié)論:舒郁膠囊治療血管性抑郁有較好臨
3、床療效,與氟西汀膠囊治療效果相當(dāng)。關(guān)鍵詞:中草藥制劑;血管性抑郁;隨機(jī)對(duì)照試驗(yàn);雙盲法;中醫(yī)藥療法Aclinicalstudyonarandomized,double-blindcontrolledofShuYuCapsuleinpatientswithvasculardepresionLILe-jun,SHAOFen-yang,XIAOHui,etal.Departmentofcerebralvasculardisease,LianyungangHospitaloftraditionalChinesemedicine
4、,lianyungang222004,ChinaObjective:ToevaluatetheeffectivenessofShuYuCapsuleinpatientswithvasculardepresion(VD).Methods:Theinvestigationaldrugswerepackedbyblindmethod.Arandomized,double-blindandcontrolledtrialwasconductedonsixtypatientswithVD.Thesixtypatientswerer
5、andomlydividedintotreatmentgroup(n=30),orallyShuYuCapsule3#tidandFluoxetinecapsuleplacebo20mgqd,for8wk.andcontrolgroup(n=30),orallyFluoxetinecapsule20mgqd,andShuYuCapsuleplacebo3#tid,for8wk.AllsubjectswereassessedbyHAMD,MMSE,CGI,NDSandBloodlipids.Result:ShuYuCap
6、sulecanbereducedthescoresofHAMD,MMSE,CGIofBeforeandaftertreatment,Thedifferencehasstatisticsmeaning(P<0.05)betweentwo7基金項(xiàng)目:江蘇省中醫(yī)藥局科技專(zhuān)項(xiàng)資助項(xiàng)目(No.HZ07031);江蘇省連云港市科教興衛(wèi)125工程基金資助項(xiàng)目(No.ZC111.)作者簡(jiǎn)介:李樂(lè)軍,男,醫(yī)學(xué)博士,副主任中醫(yī)師,主要研究方向:中西醫(yī)結(jié)合防治腦血管病。聯(lián)系電話(huà):(0)15305131505,郵箱:lilejjun999@1
7、63.com,傳真:0518-85410021.groups;CanreducetheNDSgradingandbloodLDL-Clevel(P<0.05)after8wintreatmentgroup,ButNDSgradeandthebloodLDL-Clevelcannotbeimprovedobviously(P>0.05)incontrolgroup.Havenotstatisticssignificantly(P>0.05)inthealwaysefficientcomparativedifference
8、betweentwogroupsoftreatment.Conclusion:ShuYuCapsulehasbetterclinicaleffectinvasculardepresion,equaleffecttoFluoxetinecapsule.Keywords:herbalpreparations;vasculardepre