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乌灵胶囊联合米氮平对更年期抑郁症患者神经内分泌的影响 被引量:13
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作者 陈永新 李涛 +2 位作者 韩亚琼 黄素培 张瑞岭 《中药药理与临床》 CSCD 北大核心 2017年第2期200-203,共4页
目的:探讨乌灵胶囊联合米氮平治疗更年期抑郁症的疗效以及对患者神经内分泌的影响。方法:采用随机双盲对照法将我院195例更年期抑郁患者随机分为对照组和治疗组,对照组给予米氮平治疗,治疗组给予米氮平+乌灵胶囊治疗。治疗8周,观察并比... 目的:探讨乌灵胶囊联合米氮平治疗更年期抑郁症的疗效以及对患者神经内分泌的影响。方法:采用随机双盲对照法将我院195例更年期抑郁患者随机分为对照组和治疗组,对照组给予米氮平治疗,治疗组给予米氮平+乌灵胶囊治疗。治疗8周,观察并比较两组患者的汉密尔顿抑郁量表(HAMD)评分和改良Kupperman指数评分(KMI)、世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分、不良反应症状量表(TESS)。治疗前后测定并比较两组患者血清单胺类神经递质5-羟色胺(5-TH)、去甲肾上腺素(NE)、雌二醇(E2)、促卵泡激素(FSH)、促黄体生成素(LH)水平。结果:对照组和治疗组的有效率分别为80.61%和92.78%(P<0.01)。治疗后2、4、6、8周与治疗前HADM评分比较2组均有明显降低,从治疗第2周末起,治疗组的HADM总分较对照组明显下降。治疗后两组间的KMI评分和WHOQOL-BREF评分比较均有显著性差异。治疗后两组患者的5-羟色胺(5-TH)和去甲肾上腺素(NE)较治疗前明显升高;治疗后两组患者的雌二醇(E2)、促卵泡激素(FSH)、促黄体生成素(LH)浓度较治疗前均有显著性差异。对照组的不良反应总数18例(18.37%),TESS值为(5.89±0.41)分;治疗组的不良反应总数8例(8.25%),TESS评分(3.14±0.28)分。治疗组的不良反应数及TESS明显低于对照组。结论:乌灵胶囊可提高米氮平治疗更年期抑郁症临床疗效,且不良反应少,依从性好,并能有效地调整患者的E2、FSH、LH水平,提高患者生存质量。 展开更多
关键词 乌灵胶囊 米氮平 更年期 抑郁症 神经内分泌
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Determination of Mirtazapine in Human Plasma by HPLC-MS and Bioavailability of Newly Developed Mirtazapine Tablets in Healthy Volunteers 被引量:3
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作者 LIRong-shan DINGLi +1 位作者 JIANLong-hai XIAOHong 《Journal of Chinese Pharmaceutical Sciences》 CAS 2004年第3期171-175,共5页
Aim To establish a sensitive and specific liquid chromatography-mass spectrometry method for determination of mirtazapine in human plasma and evaluation of its relative bioavailability. Methods After being alkalized... Aim To establish a sensitive and specific liquid chromatography-mass spectrometry method for determination of mirtazapine in human plasma and evaluation of its relative bioavailability. Methods After being alkalized by 25% ammonia, mirtazapine in the plasma was extracted with n-hexane. Desloratadine was used as internal standard (IS). Solu-tes were separated on a C_(18) column with a mobile phase of methanol-ammonium acetate buffer (pH 3.5) (75∶25). The flow rate of the mobile phase was 1 mL·min^(-1). Detection was performed on an electrospray ionization (ESI) mass spectrometer and operated in selected ion monitoring (SIM) and positive-ionization mode using target ionsat m/z 266.2 for mirtazapine and m/z 311.2 for the IS. The fragmentor voltage was 90 V. A randomized cross-over study was performed in 20 healthy volunteers. In the two study periods, twenty healthy Chinese male subjects received a single oral dose of mirtazapine 30 mg. Results The calibration curve was linear over the range of 0.3-200 ng·mL^(-1). The limit of quantitation was 0.1 ng·mL^(-1). The parameters for mirtazapine test tablet and reference tablet were as follows: T_(1/2)(24.7±4.1) and (23.6±4.3) h, T_(max)(1.6±0.8) and (1.5±0.8) h, C_(max)(95.9±29.8) and (91.9±26.7) ng·mL^(-1), respectively. Conclusion The established HPLC-MS method is rapid, sensitive and specific for the determination of mirtazapine in human plasma. The relative bioavailability was 100.0%±10.8%. 展开更多
关键词 mirtazapine PHARMACOKINETICS BIOAVAILABILITY HPLC-MS
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