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氯米帕明合用奎硫平治疗强迫症的对照研究

A controlled study of chlorimipramine combined with Quetiapine in treatment of obsessive-compulsive disorder
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摘要 目的:观察氯米帕明合用奎硫平治疗强迫症的临床疗效及不良反应。方法:将强迫症患者65例随机分为三组,分别用氯米帕明合并奎硫平、氯米帕明合并氯丙嗪及单用氯米帕明治疗8周。用强迫症量表(Y-BOCS)评定疗效,用副反应量表(TESS)评价不良反应。结果:合用奎硫平组和合用氯丙嗪组均显著提高显效率(P<0.05),4周后Y-BOCS评分较治疗前均明显下降(P<0.05),合用奎硫平组氯米帕明剂量较单用组低(P<0.05),且不良反应低(P<0.05)。结论:奎硫平是较好的强迫症增效剂,疗效较好,不良反应轻。 Objective:To study the efficacy and side - effect of chlorimipramine with Quetiapine for the treatment of patients with obsessive - compulsive disorder. Methods: Patients with obsessive - compulsive disorder were randomly assigned to take chlorimi- pramine combined with Quetiapine, chlorimipramine combined with chlorpromazine, or chlorimipramine singly for 8 weeks. Efficacy was assessed in Yale - Brown obsessive - compulsive psychiatrists rating - scale. Side - effect was assessed in Tess. Results: Chlorimipramine combined with Quetiapine Treat - patients and chlorimipramine combined with chlorpromazine Treat - patients demonstrated significantly improvement (P〈 0.05), Score on Y - BOCS demonstrated significantly decrease 4 weeks later compare to pie - treatment ( P〈 0.05 ), Doses of chlorimipramine in chlorimipramine combined with Quetiapine group is lower compare to single group ( P〈0.05 ), and side - effect is lower ( P 〈0.05 ). Conclusions: Quetiapine is a synergist of obsessive - compulsive disorder, it is effective and side -effect is lower.
作者 李铭 李云峰
出处 《中国民康医学》 2006年第13期576-577,共2页 Medical Journal of Chinese People’s Health
关键词 氯米帕明 奎硫平 氯丙嗪 强迫症 Chlorimipramine Quetiapine Chlorpromazine Obsessive - compulsive disorder
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