一项合成外部对照研究,比较温丹和19种抗抑郁药的临床疗效
Yuting Yang1, Rui Chen2, Caixia Li3
1Center for Drug Clinical Research, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
The international journal of neuropsychopharmacology
|July 26, 2023
概括
温丹 (Wendan decoction,简称WDD) 在治疗抑郁症方面表现有前途,其显著的抗抑郁作用与某些药物相当. 建议进行进一步的大规模试验,以确认其有效性.
科学领域:
- 整合和补充医学是整合和补充医学.
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 温丹 (Wendan decoction,简称WDD) 是一种用于治疗抑郁症的传统中医药.
- 目前缺乏高质量的证据来证明WDD的有效性.
- 开发了一种新的合成外部控制方法来评估WDD的临床有效性.
研究的目的:
- 为了评估温丹开 (WDD) 对重度抑郁症的临床疗效.
- 使用合成外部控制方法建立WDD抗抑郁作用的基准.
主要方法:
- 对5项涉及177名参与者的临床试验进行了基于模型的元分析.
- 用汉密尔顿抑郁度表得分的变化率来衡量有效性.
- 为了比较,合成了安慰剂和19种其他抗抑郁药的抗抑郁药疗效分布.
主要成果:
- 温丹开 (WDD) 显示出缓慢发作,最大效果在9.71周左右.
- 在8周后,WDD提高了汉密尔顿抑郁量表得分的66.4%.
- 经调整后,WDD的效果为26.9%,相当于5种抗抑郁药,优于其他抗抑郁药.
结论:
- 合成外部控制方法解决了评估传统中医疗疗效能的局限性.
- 温丹 (Wendan decoction,简称WDD) 在治疗抑郁症方面具有重要的临床价值.
- 建议进行大规模随机对照试验,以验证WDD的抗抑郁作用.
更多相关视频
相关概念视频
Antidepressant Drugs: MAOIs and Other Agents
275
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
275
Antidepressant Drugs: Overview
579
Antidepressant drugs are a class of medications primarily used for treating various mood disorders, including major depression, anxiety disorders, and other related conditions. These medicines work by modulating the neurotransmitter balance within the brain, alleviating depressive symptoms. Antidepressants can be broadly categorized into several groups according to their mechanism of action and chemical structure: Selective Serotonin Reuptake Inhibitors (SSRIs), Serotonin-Norepinephrine...
579
Antidepressant Drugs: Tricyclics, SSRIs, and SNRIs
438
Tricyclic Antidepressants (TCAs), including Desipramine (Norpramin), Imipramine (Tofranil), Clomipramine (Anafranil), and Amitriptyline (Elavil), inhibit serotonin and norepinephrine reuptake and also block other receptors. They are used for depression, pain conditions, and insomnia. Common adverse effects include anticholinergic effects, sedation, orthostatic hypotension, and weight gain. They have a narrow therapeutic window and so require plasma-level monitoring. Abrupt discontinuation can...
438
The Placebo Effect
6.2K
The placebo effect occurs when people's expectations or beliefs influence or determine their experience in a given situation. In other words, simply expecting something to happen can actually make it happen.
6.2K


