临床荟萃

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曲唑酮对帕金森病患者情绪与睡眠质量的临床疗效

  

  1. 1.锦州医科大学  研究生院,辽宁 锦州 121000;2.锦州市中心医院 神经内科,辽宁 锦州 121000
  • 出版日期:2020-02-20 发布日期:2020-03-24
  • 通讯作者: 王东玉,Email:yanzhu0704@163.com

Effects  of trazodone on mood and sleep quality in patients with Parkinson's disease

  1. 1. Postgraduate School, Jinzhou Medical University,Jinzhou 121000, China; 2. Department of Neurology,
    Jinzhou Central Hospital, Jinzhou 121000,China
  • Online:2020-02-20 Published:2020-03-24
  • Contact: Corresponding author: Wang Dongyu,Email:yanzhu0704@163.com

摘要: 目的  观察曲唑酮对帕金森病(Parkinson’s disease,  PD)患者情绪及睡眠障碍的临床疗效并观察治疗过程中的不良反应。方法  入组PD合并焦虑状态39例(焦虑组),PD合并抑郁状态34例(抑郁组),PD合并睡眠障碍27例(睡眠障碍组),PD合并焦虑、抑郁及睡眠障碍25例(并发组),患者均给予盐酸曲唑酮治疗,记录患者治疗前与治疗后焦虑、抑郁、睡眠评分, 比较该药对各组的临床疗效并记录不良反应。结果  患者治疗后,焦虑、抑郁、睡眠量表评分较治疗前明显降低, 且随着治疗时间延长,各个量表评分较前均下降(P<0.05)。结论  盐酸曲唑酮可以明显改善PD患者的情绪及睡眠障碍。

关键词: 曲唑酮, 帕金森病, 焦虑, 抑郁, 睡眠障碍

Abstract: Objective  To investigate the clinical effects of trazodone on mood and sleep disorders in patients with Parkinson’s disease (PD) and observe the adverse reactions during the treatment. Methods  There were 39 patients of PD with anxiety (anxiety group),  34 cases of PD with depression (depression group),  27 cases of PD with sleep disorder (sleep disorder group),  25 cases of PD combined with anxiety,  depression,  and sleep disorders (complicated group). All patients were treated with trazodone. The patients were evaluated for anxiety,  depression,  sleep quality  before and after  treatment. The clinical effects on different groups were evaluated and the adverse reactions of patients were recorded at the same time.Results  After treatment,  the scale scores of anxiety,  depression,  and sleep in the patients were significantly lower than before,  and the scores of each scale decreased with the treatment prolonged(P<0.05).Conclusion  Trazodone can improve the mood and sleep disorder of patients significantly.

Key words: trazodone, Parkinson disease, anxiety, depression, sleep disorders