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A double-blind, placebo-controlled study of sertraline in the prevention of depression in stroke patients.

机译:舍曲林预防中风患者抑郁症的双盲,安慰剂对照研究。

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摘要

The authors tested the effect of sertraline in the prevention of poststroke depression. After experiencing an acute ischemic stroke, nondepressed patients (N=137) were randomly assigned to 12 months of double-blind treatment with either sertraline (N=70) or placebo (N=67). Kaplan-Meier analysis showed sertraline to have significantly superior prophylactic efficacy compared with placebo. Two definitions of clinical depression were used: total score >18 on the HAM-D(17) and score >or=9 on the HAM-D(6). Approximately 10% of the sertraline-treated group developed depression according to either definition, whereas 30% developed depression in the placebo group. On the HAM-D(6) the superiority of sertraline to placebo was demonstrated already after 6 weeks of therapy. Treatment was well tolerated; patients treated with sertraline experienced significantly fewer adverse events.
机译:作者测试了舍曲林在预防中风后抑郁中的作用。经历急性缺血性中风后,将非抑郁症患者(N = 137)随机分配至12个月的舍曲林(N = 70)或安慰剂(N = 67)的双盲治疗。 Kaplan-Meier分析显示舍曲林与安慰剂相比具有明显优越的预防功效。使用了两种临床抑郁症的定义:HAM-D(17)的总得分> 18,HAM-D(6)的总得分≥9。根据任一定义,舍曲林治疗组约有10%患上抑郁症,而安慰剂组约30%患上抑郁症。在HAM-D(6)上,治疗6周后,舍曲林优于安慰剂。治疗耐受性良好;舍曲林治疗的患者发生的不良事件少得多。

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