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目的比较西酞普兰与氯丙咪嗪治疗颈椎间盘突出症伴抑郁焦虑症状的疗效和不良反应。方法对200例颈椎间盘突出症伴抑郁焦虑症状患者分别以西酞普兰与氯丙咪嗪治疗,共治疗6周。采用汉密尔顿抑郁量表(HAMD)评定临床疗效,采用副反应量表(TESS)评定副反应。结果西酞普兰组有效率91%;氯丙咪嗪组有效率90%,2组疗效相当。但西酞普兰组起效时间平均(11.1±5.6)d,而氯丙咪嗪组平均(15.1±8.2)d,以西酞普兰组显著较快(P<0.01)。西酞普兰组不良反应发生率为13%,而氯丙咪嗪组发生率为50%,西酞普兰组不良反应发生率较低。结论西酞普兰治疗颈椎间盘突出症术后伴抑郁焦虑症状的疗效与氯丙咪嗪相当,副反应少,值得推广应用。
Objective To compare the efficacy and adverse reactions of citalopram and clomipramine in the treatment of cervical disc herniation with symptoms of depression and anxiety. Methods 200 cases of cervical disc herniation with depression and anxiety symptoms were treated with citalopram and clomipramine for a total of 6 weeks. The clinical efficacy was assessed using the Hamilton Depression Rating Scale (HAMD), and side effects were assessed using the TESS. Results citalopram group was 91% effective; clomipramine group 90% effective, two groups of similar efficacy. However, the onset time of citalopram group was (11.1 ± 5.6) days, while that of clomipramine group was (15.1 ± 8.2) days, which was significantly higher in citalopram group (P <0.01). The incidence of adverse reactions was 13% in the citalopram group, 50% in the clomipramine group, and low in the citalopram group. Conclusion Citalopram treatment of cervical disc herniation postoperative depression and anxiety symptoms with clomipramine similar side effects, it is worth promoting the application.