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Effects of Paroxetine Combined with Mirtazapine on Cognitive Function and HAMD Score in Patients with Poststroke Depression |
Sun Xiaojing |
The First Affiliated Hospital of Nanyang Medical College 473000,Henan,China |
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Abstract Objective To investigate the effects of paroxetine combined with Mirtazapine on cognitive function and Hamilton Depression Scale(HAMD)score in patients with poststroke depression(PSD). Methods This was a prospective study.113 patients with poststroke depression were enrolled in this study.They were divided into observation group(n=57 cases)and control group(n=56 cases)by random number table.The control group received paroxetine treatment,and the observation group received paroxetine combined with mirtazapine treatment.Cognitive function [as assessed by Wisconsin card Sorting Test(WCST)],HAMD score and adverse effects were compared between the two groups. Results After treatment,WCST scores of both groups were improved,and scores of observation group were better than control group(P<0.05).After treatment,HAMD scores in both groups were decreased,and the observation group was lower than the control group(P<0.05).The adverse reactions of the two groups were compared(P>0.05). Conclusion Paroxetine combined with mirtazapine can effectively improve cognitive function and depression in patients with PSD.
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Received: 23 May 2023
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[1] 许长敏,张小健,刘宏伟,等.针灸联合帕罗西汀治疗对卒中后抑郁患者的有效性及患者认知功能的影响[J].解放军预防医学杂志,2019,37(10):46-47. [2] 朱宁,赵伟丽,朱洪山,等.重复经颅磁刺激联合盐酸帕罗西汀对卒中后抑郁症患者治疗效果观察[J].安徽医药,2018,22(12):2431-2434. [3] Wei C,Zhang F,Chen L,et al.Factors associated with post-stroke depression and fatigue:lesion location and coping styles[J].J Neurol,2016,263(2):269-276. [4] 陈艳波,杨艳,张丽娜.米氮平联合艾司西酞普兰对抑郁症患者情绪、睡眠质量及认知功能的影响[J].中国医师杂志,2020,22(4):580-583. [5] 中华医学会神经病分会脑血管病组.中国急性缺血性脑卒中诊治指南[J].中华神经科杂志,2010,43(2):2-3. [6] 中华医学会神经病学分会神经心理学与行为神经病学组.综合医院焦虑、抑郁与躯体化症状诊断治疗的专家共识[J].中华神经科杂志,2016,49(12):908-917. [7] 谭云龙,邹义壮,屈英,等.威斯康星卡片分类测验常用指标的稳定性分析[J].中国心理卫生杂志,2002,16(12):831-833. [8] 曹慧,张晋萍,郭蕊,等.两种量表在老年2型糖尿病患者抑郁状态评估中的信效度比较[J].神经疾病与精神卫生,2017,17(10):721-726. [9] 李雪,郝铭,罗有才,等.出血性卒中后抑郁患者认知功能与生活质量研究[J].陕西医学杂志,2017,46(11):1545-1547. [10] Qiang Zhao,Yi Guo,Dong Yang,et al.Serotonin Transporter Gene 5-HTTLPR Polymorphism as a Protective Factor Against the Progression of Post-Stroke Depression[J].Mol Neurobiol,2016,53(3):1699-1705. [11] 王化强,林炜,刘军,等.米氮平联合西酞普兰治疗抑郁伴睡眠障碍患者的效果观察[J].国际精神病学杂志,2019,46(2):286-288. [12] 栾志红. 米氮平联合帕罗西汀治疗难治性抑郁症的临床效果[J].宁夏医科大学学报,2018,40(4):452-454. [13] 金国林,邓丽云,宋清海.米氮平联合度洛西汀对抑郁症认知障碍的改善及肿瘤坏死因子-α、白细胞介素-1β的影响[J].中国医师杂志,2018,20(11):1740-1742. [14] 李予春,李强,冯砚国,等.认知行为疗法联合米氮平治疗脑卒中后抑郁疗效观察[J].新乡医学院学报,2018,35(9):816-819. [15] 容伟,伍新田,王爱梅,等.心理干预联合帕罗西汀治疗对卒中后抑郁患者认知、睡眠及自主神经功能的影响研究[J].中国临床医生杂志,2018,46(10):1194-1197. |
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