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1、舒郁胶囊治疗血管性抑郁患者随机双盲对照临床研究李乐军1,2邵凤扬1,2肖辉1,2刘晓丽1,2周永媛1,2许运堂1,21江苏省连云港市中医院,江苏连云港2220042南京中医药大学连云港附属医院,江苏连云港222004摘要:目的:观察舒郁胶囊对血管性抑郁(vasculardepresion,VD)患者的临床疗效。方法:对各组试验药进行盲法要求包装,采用随机、双盲、阳性平行对照法共观察60例VD患者。治疗组30例,服用舒郁胶囊,每次3粒,每日3次,同时服氟西汀胶囊安慰剂每次1粒,每日1次;对照组30例,服用氟西汀胶囊每次1
2、粒,每日1次,同时服舒郁胶囊安慰剂每次3粒,每日3次,连续治疗,两组总疗程均为8周。于服药前、服药4周、8周后分别进行神经心理学量表评价和血脂检测分析。结果:采用舒郁胶囊能降低治疗前后HAMD、MMSE、CGI评分,两组间比较HAMD、MMSE、CGI的评分差异有统计学意义(P<0.05);同时也能降低治疗组治疗8周后NDS评分及血LDL-C水平(P<0.05),但对对照组NDS评分及血LDL-C水平改善不明显(P>0.05)。对两组治疗总有效率比较差异无统计学意义(P>0.05)。结论:舒郁胶囊治疗血管性抑郁有较好临
3、床疗效,与氟西汀胶囊治疗效果相当。关键词:中草药制剂;血管性抑郁;随机对照试验;双盲法;中医药疗法Aclinicalstudyonarandomized,double-blindcontrolledofShuYuCapsuleinpatientswithvasculardepresionLILe-jun,SHAOFen-yang,XIAOHui,etal.Departmentofcerebralvasculardisease,LianyungangHospitaloftraditionalChinesemedicine
4、,lianyungang222004,ChinaObjective:ToevaluatetheeffectivenessofShuYuCapsuleinpatientswithvasculardepresion(VD).Methods:Theinvestigationaldrugswerepackedbyblindmethod.Arandomized,double-blindandcontrolledtrialwasconductedonsixtypatientswithVD.Thesixtypatientswerer
5、andomlydividedintotreatmentgroup(n=30),orallyShuYuCapsule3#tidandFluoxetinecapsuleplacebo20mgqd,for8wk.andcontrolgroup(n=30),orallyFluoxetinecapsule20mgqd,andShuYuCapsuleplacebo3#tid,for8wk.AllsubjectswereassessedbyHAMD,MMSE,CGI,NDSandBloodlipids.Result:ShuYuCap
6、sulecanbereducedthescoresofHAMD,MMSE,CGIofBeforeandaftertreatment,Thedifferencehasstatisticsmeaning(P<0.05)betweentwo7基金项目:江苏省中医药局科技专项资助项目(No.HZ07031);江苏省连云港市科教兴卫125工程基金资助项目(No.ZC111.)作者简介:李乐军,男,医学博士,副主任中医师,主要研究方向:中西医结合防治脑血管病。联系电话:(0)15305131505,邮箱:lilejjun999@1
7、63.com,传真:0518-85410021.groups;CanreducetheNDSgradingandbloodLDL-Clevel(P<0.05)after8wintreatmentgroup,ButNDSgradeandthebloodLDL-Clevelcannotbeimprovedobviously(P>0.05)incontrolgroup.Havenotstatisticssignificantly(P>0.05)inthealwaysefficientcomparativedifference
8、betweentwogroupsoftreatment.Conclusion:ShuYuCapsulehasbetterclinicaleffectinvasculardepresion,equaleffecttoFluoxetinecapsule.Keywords:herbalpreparations;vasculardepre