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帕罗西汀预防创伤后应激障碍对照研究
引用本文:王怀海,谭庆荣,王志忠,王化宁,成群青,陈云春,王文,张瑞国,雷莉,樊爱珍.帕罗西汀预防创伤后应激障碍对照研究[J].临床精神医学杂志,2009,19(1).
作者姓名:王怀海  谭庆荣  王志忠  王化宁  成群青  陈云春  王文  张瑞国  雷莉  樊爱珍
作者单位:第四军医大学西京医院心身科,西安,710032
基金项目:国家自然科学基金资助项目(30670758);;全军“十一五”攻关基金资助项目(06G096);;第四军医大学军事医学基金资助项目(05XJZ004)
摘    要:目的:探讨帕罗西汀预防创伤后应激障碍(PTSD)的效果。方法:矿难2个月后对31名矿难幸存者和22名配偶非PTSD者随机分为预防组和对照组。预防组予帕罗西汀10mg/d或20mg/d进行干预。1个月后再次进行PTSD诊断,干预前后对两组进行PTSD自评量表和PTSD症状清单(PCL)评定。结果:1个月后对照组有4人符合PTSD诊断标准,预防组无1例PTSD者。干预前,预防组和对照组PTSD自评量表及PCL评分差异无显著性(P>0.05)。干预后,预防组PTSD总分、PTSD闪回因子以及PCL评分比干预前显著减少(P<0.05或P<0.01),对照组仅PCL评分比干预前显著下降(P<0.05)。干预后预防组与对照组闪回及PTSD总分差异显著(P<0.05或P<0.01)。结论:帕罗西汀对PTSD的发生有预防作用。

关 键 词:创伤后应激障碍  帕罗西汀  预防  

A randomized controlled study on prevention of posttraumatic stress disorder with paroxetine
WANG Huai-hai,TAN Qing-rong,WANG Zhi-zhong,WANG Hua-ning,CHENG Chun-qing,CHEN Yun-chun,WANG Wen,ZHANG Rui-guo,LEI Li,FAN Ai-zhen.A randomized controlled study on prevention of posttraumatic stress disorder with paroxetine[J].Journal of Clinical Psychological Medicine,2009,19(1).
Authors:WANG Huai-hai  TAN Qing-rong  WANG Zhi-zhong  WANG Hua-ning  CHENG Chun-qing  CHEN Yun-chun  WANG Wen  ZHANG Rui-guo  LEI Li  FAN Ai-zhen
Institution:WANG Huai-hai,TAN Qing-rong,WANG Zhi-zhong,WANG Hua-ning,CHENG Chun-qing,CHEN Yun-chun,WANG Wen,ZHANG Rui-guo,LEI Li,FAN Ai-zhen.Department of Psychiatry,Xijing hospital of the Fourth Military Medical University,Xi'an 710032,China
Abstract:Objective:To explore the efficacy of paroxetine in prevention from posttraumatic stress disorder(PTSD).Method:31 survivors in a mine disaster and 22 survivor spouses were randomly divided into prevention group and control group two months affter the disaster.the prevention group was treated with paroxetine of 10 or 20 mg/d for one month.PTSD checklist(PCL)and PTSD self rating scale were administered before and after the treatment.Results:After one month treatment,there were no peoples in prevention group bu...
Keywords:posttraumatic stress disorder  paroxetiine  prevention  
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