摘要
Abstract
Background Fluvoxamine is increasingly used in the treatment for depressive disorder in adolescents.However,little research has been done on the effect of fluvoxamine on lipid metabolism,and the disordered lipid metabolism would cause severe harm to the health of patients and affect relevant prognosis.Objective To analyze the effect of fluvoxamine on lipid metabolism in adolescent patients with depressive disorder and to investigate the safety of fluvoxamine treatment.Methods From June 2022 to June 2023,60 adolescent patients with depressive disorder were involved,who met the diagnostic criteria of International Classification of Diseases,tenth edition(ICD-10)and received inpatient treatments in Shanxi Mental Health Center.These cases were randomly divided into study group(receiving fluvoxamine treatment)and control group(receiving sertraline treatment)with 30 cases in each group.The treatment period was 4 weeks.At baseline as well as 2 weeks and 4 weeks after treatment,both groups'indexes of fasting lipid metabolism were measured,including serum total cholesterol(TC),triglycerides(TG),high-density lipoprotein(HDL)and low-density lipoprotein(LDL),and Hamilton Depression Scale-17 item(HAMD-17)was adopted.The levels of lipid metabolism indexes and HAMD-17 score were compared between the two groups at different follow-up time points.Results For HAMD-17 score,the time effect was statistically significant(F=849.687,P<0.01),while the inter-group effect and interaction effect was not statistically significant(F=0.033,1.760,P>0.05).For TC levels,the inter-group effect was not statistically significant(F= 1.461,P=0.232),but the time effect and interaction effect were statistically significant(F=13.129,5.029,P<0.05 or 0.01).The time effect and the inter-group effect of TG level were not statistically significant(F=0.825,0.185,P>0.05),but the interaction effect was statistically significant(F=7.577,P=0.004).For HDL levels,the time effect,inter-group effect and interaction effect were not statistically significant(F=1.079,0.160,1.877,P>0.05).For LDL levels,there was no statistical significance in the inter-group effect(F=0.019,P=0.891),while statistical significance was observed in both time effect and interaction effect(F= 6.721,9.075,P<0.01).Conclusion Fluvoxamine and sertraline have curative effectiveness of same level on adolescent depression disorder,and short-term application of fluvoxamine has little effect on lipid metabolism indexes of patients.关键词
氟伏沙明/抑郁障碍/青少年/脂代谢Key words
Fluvoxamine/Depressive disorder/Adolescents/Lipid metabolism分类
临床医学
