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氯丙咪嗪治疗强迫性神经症37例临床分析
引用本文:单怀海,郑瞻培,张磊. 氯丙咪嗪治疗强迫性神经症37例临床分析[J]. 中国新药与临床杂志, 1986, 0(4)
作者姓名:单怀海  郑瞻培  张磊
作者单位:上海市精神卫生中心,上海市精神卫生中心,上海医科大学精神医学教研室 上海 200030,上海 200030,上海 200032
摘    要:37例强迫症患者用氯丙咪嗪治疗,按疗效作了随机对照研究。氯丙咪嗪剂量为20-80mg/d,疗程为1mo(月)。结果:有效率76%,对照组用阿米替林有效率为56%。两者在统计学上无明显差异。本文结果提示,氯米咪嗪与阿米替林相比,在治疗强迫症方面疗效无差异。然而,对顽固的强迫行为疗效均欠佳。在强迫症无更有效的药物治疗前,氯丙咪嗪仍是可供选择的药物。

关 键 词:强迫症  氯丙咪嗪  阿米替林  强迫观念  强迫性怀疑  强迫计数  强迫性穷思极虑

Therapeutic evaluation of chforimipramine in patients suffered from obssession
SHAN Huai-hai,ZHENG Shan-pei. Therapeutic evaluation of chforimipramine in patients suffered from obssession[J]. Chinese Journal of New Drugs and Clinical Remedies, 1986, 0(4)
Authors:SHAN Huai-hai  ZHENG Shan-pei
Abstract:From December 1983 to February 1985, 37 OPD patients, suffered from obssession, received medical therapy under observation. Among them 28 cases took chlorimipramine, 4-wk trial with daily dose 20-80mg, while the rest amitriptyline as control.Cure and improvement were found to be 76%in the former while 55% in the latter. These figuresthough have no much statical significance, but in the clinical practice, chlorim-pramine is still the drug of choice for obssession-release.
Keywords:obsession  chlorimipra-mine  amitriptylin  obsessive idea  obsessive doubtingj obsessive counting  obsessive rumination
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