针治疗老年轻度至中度抑郁症的疗效:随机对照试验的协议
Qingnan Fu1, Kaihui Xiao2, Jie Zhang1
1Department of Psychosomatic Medicine, Beijing Traditional Chinese Medicine Hospital Affiliated to Capital Medical University, 23 Back Street, Art Museum, Dongcheng District, Beijing, China, 86 13801202917.
JMIR research protocols
|January 30, 2026
概括
这项研究调查了针是否可以帮助老年人抑郁症,当与citalopram hydrobromide结合. 这些发现将指导未来的试验,将针与抗抑郁药物药物整合在一起.
科学领域:
- 老年精神病学是一门精神病学专业.
- 综合医学是一个整体的医学.
- 临床试验 临床试验
背景情况:
- 选择性血清素再吸收抑制剂 (SSRI) 是主要的抗抑郁药,但只有60%的患者对其有反应.
- 针治疗抑郁症或增强SSRI耐受性的有效性证据有限.
- 患有抑郁症的老年人需要有效和耐受良好的治疗选择.
研究的目的:
- 为了评估针与citalopram hydrobromide联合治疗60-80岁个体轻度至中度抑郁症的疗效.
- 评估这种联合治疗对抑郁症症状严重程度和认知功能的影响.
- 为未来的大规模临床试验提供初步数据.
主要方法:
- 一个双臂,并行随机受控试验,涉及132名被诊断患有严重抑郁症的参与者 (60-80岁).
- 一组接受了西塔洛普拉姆化物 (高达20毫克/天) 加上36个针疗程超过12周.
- 对照组仅接受了12周的西塔洛普拉姆胺. 主要结局:第12周17项汉密尔顿抑郁量表的响应率.
主要成果:
- 截至2024年10月17日,参与者招生 (n=132) 和数据收集已经完成.
- 数据分析正在进行中,预计2025年10月初步调查结果将公布.
- 研究结果预计将在2026年公布.
结论:
- 这项试点研究探讨了将针与citalopram hydrobromide结合用于老年抑郁症的可行性和潜在益处.
- 预计结果将为未来多中心试验的设计和样本大小提供信息.
- 这项研究可能会推进老年人抑郁症的非药物治疗策略.
更多相关视频
相关概念视频
Long-term Depression
33.3K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
33.3K
Freezing Point Depression and Boiling Point Elevation
40.0K
Boiling Point Elevation
The boiling point of a liquid is the temperature at which its vapor pressure is equal to ambient atmospheric pressure. Since the vapor pressure of a solution is lowered due to the presence of nonvolatile solutes, it stands to reason that the solution’s boiling point will subsequently be increased. Vapor pressure increases with temperature, and so a solution will require a higher temperature than will pure solvent to achieve any given vapor pressure, including one...
The boiling point of a liquid is the temperature at which its vapor pressure is equal to ambient atmospheric pressure. Since the vapor pressure of a solution is lowered due to the presence of nonvolatile solutes, it stands to reason that the solution’s boiling point will subsequently be increased. Vapor pressure increases with temperature, and so a solution will require a higher temperature than will pure solvent to achieve any given vapor pressure, including one...
40.0K
Depressants
428
Depressant drugs, including alcohol and sedative-hypnotics, diminish central nervous system activity by enhancing the action of gamma-aminobutyric acid (GABA), a neurotransmitter that reduces brain activity and promotes relaxation. These substances can have various therapeutic uses but also pose significant risks, especially when misused or combined.
Alcohol is a common depressant that can induce a sense of relaxation and reduced inhibition at low doses. Contrary to its occasional...
Alcohol is a common depressant that can induce a sense of relaxation and reduced inhibition at low doses. Contrary to its occasional...
428
Clinical Trials: Overview
4.9K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
4.9K
Trial and Error and Algorithm
409
A problem-solving strategy is a plan of action used to find a solution. Different strategies have distinct action plans. Trial and error involves trying different solutions until one works. For instance, to fix a broken printer, you might check ink levels, ensure the paper tray isn't jammed, and verify the printer's connection to your laptop. This method can be time-consuming but is commonly used. Thomas Edison, for example, used trial and error to find a suitable filament for the light...
409
Self-Efficacy
224
Self-efficacy is the belief in one's capacity to organize and execute actions necessary to manage prospective situations. This belief significantly influences how individuals approach goals, tasks, and challenges across different domains of life.Psychological and Educational ImpactsIndividuals with strong self-efficacy are more resilient in the face of difficulties. They are more likely to adopt effective problem-solving strategies, persist through obstacles, and regulate emotions such as...
224


