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西酞普兰治疗功能性胃肠病伴焦虑抑郁障碍的临床观察

李懿 李良平 童荣生

中国药房2016,Vol.27Issue(29):4101-4102,4103,3.
中国药房2016,Vol.27Issue(29):4101-4102,4103,3.DOI:10.6039/j.issn.1001-0408.2016.29.22

西酞普兰治疗功能性胃肠病伴焦虑抑郁障碍的临床观察

Clinical Observation of Citalopram in the Treatment of Functional Gastrointestinal Disorders Complicated with Anxiety or Depression

李懿 1李良平 1童荣生2

作者信息

  • 1. 四川省医学科学院/四川省人民医院消化内科,成都 610072
  • 2. 四川省医学科学院/四川省人民医院药剂科,成都 610072
  • 折叠

摘要

Abstract

OBJECTIVE:To observe the clinical efficacy and safety of citalopram in the treatment of functional gastrointesti-nal disorders complicated with anxiety or depression. METHODS:62 patients with functional gastrointestinal disorders complicat-ed with anxiety or depression were randomly divided into treatment group(34 cases)and control group(28 cases). Control group was given routine treatment,treatment group was additionally given Citalopram tablet with initial dose of 10 mg,qd,increasing to 40 mg qd,according to the situation of patients,on the basis of control group. Treatment course of 2 groups lasted for 3 months. The gastrointestinal symptom integral,HAMD and HAMA were compared between 2 groups before and after treatment,and clini-cal efficacy and the occurrence of ADR were observed. RESULTS:There was no statistical significance in gastrointestinal symptom integral,HAMD and HAMA between 2 groups before treatment (P>0.05). After Treatment,above scores of 2 groups decreased significantly,and the treatment group was lower than the control group,with statistical significance(P<0.05). Total effective rate of treatment group was significantly higher than that of control group (94.12% vs. 67.86%),with statistical significance (P<0.05). Olny 4 patients of treatment group suffered from mild ADR. CONCLUSIONS:Citalopram shows significant therapeutic effi-cacy in the treatment of functional gastrointestinal disorders complicated with anxiety or depression,and can improve digestive tract symptom and anxiety or depression,and help to improve patients’gastrointeseinal symptoms with good safety.

关键词

功能性胃肠病/焦虑/抑郁/西酞普兰/疗效

Key words

Functional gastrointestinal disorders/Anxiety/Depression/Citalopram/Clinical efficacy

分类

医药卫生

引用本文复制引用

李懿,李良平,童荣生..西酞普兰治疗功能性胃肠病伴焦虑抑郁障碍的临床观察[J].中国药房,2016,27(29):4101-4102,4103,3.

基金项目

心身医学理论框架下的临床躯体症状分类及诊疗项目 ()

中国药房

OA北大核心CSTPCD

1001-0408

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