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米氮平与文拉法辛治疗抑郁症对照研究
引用本文:陈广阳,古国谋,谢建文,李崇勇,付贤,肖旭曼.米氮平与文拉法辛治疗抑郁症对照研究[J].临床精神医学杂志,2003,13(2):77-79.
作者姓名:陈广阳  古国谋  谢建文  李崇勇  付贤  肖旭曼
作者单位:528041,广东佛山市第三人民医院
摘    要:目的:评价米氮平与文拉法辛治疗抑郁症的疗效和不良反应。方法:将符合中国精神障碍分类与诊断标准第3版诊断标准的46例抑郁症住院和门诊患者,随机平分为两组,分别给予米氮平和文拉法辛治疗,疗程6周。用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、临床疗效总评量表的病情严重程度(CGI—SI)和副反应量表(TESS)评定疗效和不良反应。结果:米氮平与文拉法辛对抑郁症疗效接近,但前者起效更快,不良反应少于后者。结论:米氮平是一种安全、有效的新一代抗抑郁药,可以作为治疗抑郁症的第一线抗抑郁药使用。

关 键 词:文拉法辛  抑郁症  治疗  疗效  不良反应  米氮平
文章编号:1005-3220(2003)02-0077-03
修稿时间:2002年8月1日

A study of mirtazapine and venlafaxine in the treatment of depression
Chen Guangyang,Gu Guomou,Li Chongyong,et al..A study of mirtazapine and venlafaxine in the treatment of depression[J].Journal of Clinical Psychological Medicine,2003,13(2):77-79.
Authors:Chen Guangyang  Gu Guomou  Li Chongyong  
Institution:Chen Guangyang,Gu Guomou,Li Chongyong,et al.The Third People's Hospital of Foshan,Guangdong 528041
Abstract:Objective:To compare efficacy and side effects between mirtazapine and venlafaxine in the treatment of depression. Method:46 inpatients and outpatients with a diagnosis of depression according to CCMD 3 were involved in this study,they were randomly assigned to mirtazapine group ( n =23) and venlafaxine group ( n =23) for 6 weeks.Effects and side reactions were evaluated with HAMD,HAMA,CGI SI and TESS before and after the treatment. Results:Findings indicated that efficacy of mirtazapine was similar to than of venlafaxine,however mirtazapine took effect more quickly and its side effects were less than venlafaxine. Conclusion:Mirtazapine is an effective and safe antidepressant.It is suggested that mirtazapine could be used as a first line antidepressant in the treatment of depression in elder.
Keywords:Mirtazapine  Venlafaxine  Depression
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