原创 抑郁症能治好吗?怎么治疗效果是最好的?
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">抑郁症是精神系统<span style="color: black;">疾患</span>中较<span style="color: black;">平常</span>的一种<span style="color: black;">疾患</span>,临床发病率较高,<span style="color: black;">重点</span>临床表现为抑郁、<span style="color: black;">哀痛</span>、<span style="color: black;">懊丧</span>、绝望等<span style="color: black;">心情</span>性症状,<span style="color: black;">病人</span>多伴有不同程度的<span style="color: black;">睡觉</span><span style="color: black;">阻碍</span>、社交恐惧等,严重者有较高的<span style="color: black;">自s</span>性倾向,严重影响<span style="color: black;">平常</span>生活及职业发展等。<span style="color: black;">非常多</span>抑郁症的<span style="color: black;">病人</span>最关心的还是抑郁症能<span style="color: black;">不可</span>治疗,怎么治疗,能治好吗?</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q8.itc.cn/images01/20240222/44bf8e216a66456f9bb72163a2703e4e.bmp" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">毫<span style="color: black;">没</span>疑问的是,抑郁症能被治疗,<span style="color: black;">况且</span>有很大的机会是<span style="color: black;">能够</span>痊愈的,<span style="color: black;">科研</span><span style="color: black;">显示</span>,首次抑郁<span style="color: black;">爆发</span>的<span style="color: black;">病人</span>其复发率<span style="color: black;">最少</span>为50%,已有2次抑郁<span style="color: black;">爆发</span>的<span style="color: black;">病人</span>其复发率则高达80%~90%。<span style="color: black;">科研</span><span style="color: black;">表示</span>,在临床抗抑郁药治疗<span style="color: black;">科研</span>中,未依从医师治疗<span style="color: black;">方法</span>的<span style="color: black;">病人</span>达40%~70%,<span style="color: black;">况且</span>随着治疗时间越长,<span style="color: black;">病人</span>依从性比例呈递减趋势,抑郁症脱落率高达50%~70%。不依从<span style="color: black;">行径</span><span style="color: black;">包含</span><span style="color: black;">病人</span><span style="color: black;">自动</span>减少<span style="color: black;">药品</span>剂量或提前中断治疗等。<span style="color: black;">亦</span><span style="color: black;">便是</span>说,抑郁症的复发很大<span style="color: black;">原由</span>是<span style="color: black;">因为</span><span style="color: black;">自动</span>减少<span style="color: black;">药品</span>剂量<span style="color: black;">或</span>提前中断治疗<span style="color: black;">导致</span>的。<span style="color: black;">因此</span>遵从医嘱就<span style="color: black;">尤其</span><span style="color: black;">要紧</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q2.itc.cn/images01/20240222/356d73f88fe648efb69ef2ec1d19cc2c.bmp" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">传统治疗抑郁症多<span style="color: black;">运用</span>抗抑郁<span style="color: black;">药品</span>进行治疗。<span style="color: black;">针对</span>病情较轻的抑郁症<span style="color: black;">病人</span><span style="color: black;">意见</span>给予心理治疗,若病情继续发展至中度、重度,可<span style="color: black;">运用</span>抗抑郁<span style="color: black;">药品</span>减轻其抑郁症状,缓解其<span style="color: black;">自s</span>或<span style="color: black;">哀痛</span>绝望<span style="color: black;">心情</span>,但仍需结合心理治疗。传统治疗<span style="color: black;">药品</span>有三环类<span style="color: black;">药品</span>,如多塞平、去甲丙咪嗪及阿米替林等。近年来,抗抑郁<span style="color: black;">药品</span>有了新发展,<span style="color: black;">显现</span>了如靶类<span style="color: black;">药品</span>、羟色胺再摄取<span style="color: black;">药品</span>(SSRI)等<span style="color: black;">药品</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q1.itc.cn/images01/20240222/f47b3319030043cd97a5e8a8a8bd98e4.bmp" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">SSRI</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">日前</span>,SSRI在抑郁症中应用范围较广、应用率较高,可<span style="color: black;">加强</span>5-HT浓度,强化神经冲动传导,从而对抑郁症状产生治疗效果。SSRI安全性较高,且<span style="color: black;">生效</span>较快,同三环类<span style="color: black;">药品</span>比较,治疗效果相当,且<span style="color: black;">拥有</span>用量少、生物利用率高、不良反应较少等优点,<span style="color: black;">表率</span><span style="color: black;">药品</span>有舍曲林、氟西汀、氟伏沙明、西酞普兰。其中舍曲林、氟西汀临床应用率较高。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">日前</span>,不<span style="color: black;">意见</span>妊娠期抑郁症<span style="color: black;">病人</span><span style="color: black;">运用</span>舍曲林治疗。<span style="color: black;">科研</span><span style="color: black;">发掘</span>,男抑郁症<span style="color: black;">病人</span>及除妊娠期的女抑郁症<span style="color: black;">病人</span>应用舍曲林进行治疗,其治疗效果较好。舍曲林可促进去甲肾上腺素合成与释放,且不会<span style="color: black;">导致</span>帕金森<span style="color: black;">综合症</span>,或<span style="color: black;">增加</span>泌乳合成量,可缓解<span style="color: black;">病人</span>认知及<span style="color: black;">重视</span>力<span style="color: black;">阻碍</span>,尤其是<span style="color: black;">针对</span>脑卒中后伴神经功能<span style="color: black;">缺失</span>等<span style="color: black;">副作用</span>并<span style="color: black;">显现</span>抑郁症状的<span style="color: black;">病人</span>,可有效缓解临床症状,缩短住院时间。<span style="color: black;">科研</span><span style="color: black;">显示</span>,舍曲林可<span style="color: black;">导致</span>恶心、头痛、眩晕等不良反应,但均较轻微。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q5.itc.cn/images01/20240222/e6ae4a768ec04eab8e7efa468d531c6a.bmp" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">氟西汀最初在美国应用于临床,属于SSRI<span style="color: black;">初期</span>应用<span style="color: black;">药品</span>,对5-HT在<span style="color: black;">身体</span>的重复摄取可<span style="color: black;">诱发</span>高度特异性<span style="color: black;">控制</span><span style="color: black;">功效</span>,不会影响除此之外的神经受体,<span style="color: black;">药品</span>应用安全性较高,对抑郁症的老年<span style="color: black;">病人</span>治疗效果良好,且对强迫症及恐惧症<span style="color: black;">一样</span><span style="color: black;">拥有</span>良好的治疗效果。<span style="color: black;">科研</span><span style="color: black;">显示</span>,氟西汀可有效改善<span style="color: black;">病人</span>认知<span style="color: black;">阻碍</span>,缓解抑郁症状,<span style="color: black;">从而</span>减轻因焦虑或抑郁症状<span style="color: black;">诱发</span>的生理症状,改善脑卒中<span style="color: black;">病人</span><span style="color: black;">显现</span>的恐惧、抑郁等<span style="color: black;">消极</span><span style="color: black;">心情</span>。氟西汀在治疗<span style="color: black;">时期</span>可产生恶心、呕吐等胃肠道反应及眩晕、头痛等不良反应,但程度较轻微。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q9.itc.cn/images01/20240222/b549a1a2424a40e68cf682d92180f94d.bmp" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">去甲肾上腺素(NA)及5-HT重复摄取<span style="color: black;">药品</span>(SNRIs)</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">SNRIs可<span style="color: black;">经过</span><span style="color: black;">控制</span>5-HT及NA重复摄取<span style="color: black;">功效</span>,<span style="color: black;">加强</span>二者在突触间隙内的浓度,<span style="color: black;">从而</span>对抑郁症进行治疗,但却<span style="color: black;">没</span>法<span style="color: black;">控制</span>单胺酶,其<span style="color: black;">表率</span><span style="color: black;">药品</span>有度洛西汀、文拉法辛,该类<span style="color: black;">药品</span>治疗特点是在特定应用剂量内,可<span style="color: black;">持续</span><span style="color: black;">提高</span>治疗效果,但若超过最高限,可<span style="color: black;">逐步</span>降低抗抑郁<span style="color: black;">功效</span>,且可<span style="color: black;">显现</span>较多不良反应,如高血压、肢体震颤及出汗等。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">度洛西汀是一种在NA及5-HT重复摄取过程中<span style="color: black;">拥有</span><span style="color: black;">剧烈</span><span style="color: black;">控制</span>性<span style="color: black;">功效</span>的<span style="color: black;">药品</span>,可<span style="color: black;">增多</span>NA及5-HT在人体脊髓及大脑组织内的浓度,<span style="color: black;">拥有</span><span style="color: black;">生效</span>快、不良反应少等优点,对抑郁症状的治疗效果较强,但<span style="color: black;">拥有</span>加重抑郁症状,<span style="color: black;">加强</span><span style="color: black;">自s</span>倾向、<span style="color: black;">上升</span>血压的<span style="color: black;">危害</span>,<span style="color: black;">因此呢</span>,心肌梗死伴发抑郁症状或冠心病不稳定性伴发抑郁症的<span style="color: black;">病人</span>应尽可能避免<span style="color: black;">运用</span>度洛西汀。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q9.itc.cn/images01/20240222/e468a6b683364bf498d5e27d70d4a431.bmp" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">文拉法辛临床应用时间较短,不论用药时间长短,均可<span style="color: black;">引起</span><span style="color: black;">运用</span>者<span style="color: black;">显现</span>不同程度的环磷酸腺苷(CAMP)合成量减少,<span style="color: black;">从而</span>降低β受体释放量,适用于抑郁症及焦虑症<span style="color: black;">病人</span>的治疗。该<span style="color: black;">药品</span>的<span style="color: black;">功效</span>特点是口服吸收效果良好,<span style="color: black;">生效</span>较快,且可<span style="color: black;">显现</span>不同程度的不良反应,如出汗、全身疲乏、肢体震颤、恶心及焦虑症状等,部分可见性功能<span style="color: black;">阻碍</span>,可能存在加重抑郁症状、使焦虑症状恶化的<span style="color: black;">危害</span>。临床实践<span style="color: black;">发掘</span>,<span style="color: black;">药品</span>不良反应与<span style="color: black;">运用</span>剂量<span style="color: black;">没</span>关,但抗抑郁症治疗能力弱于度洛西汀。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q8.itc.cn/images01/20240222/9f0e752d64234e01a3c1f4071391fc11.bmp" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">NDRIs是近年来应用于临床的抗抑郁症<span style="color: black;">药品</span>,<span style="color: black;">重点</span><span style="color: black;">经过</span><span style="color: black;">控制</span>NA及其重复摄取功能,<span style="color: black;">加强</span>NA及多巴胺(DA)的治疗效果,从而有效治疗抑郁症,<span style="color: black;">针对</span>抑郁症双相<span style="color: black;">阻碍</span>型的治疗效果<span style="color: black;">优良</span>更<span style="color: black;">显著</span>。但<span style="color: black;">必须</span><span style="color: black;">重视</span>的是,该<span style="color: black;">药品</span>治疗抑郁症偶见躁狂症<span style="color: black;">出现</span>,但<span style="color: black;">睡觉</span><span style="color: black;">阻碍</span>、头部<span style="color: black;">病痛</span>、口干、恶心呕吐等不良反应<span style="color: black;">出现</span><span style="color: black;">危害</span>高,<span style="color: black;">表率</span>性<span style="color: black;">药品</span>有安非他酮。安非他酮治疗抑郁症的临床效果较好,且安全性高,其治疗效果与传统抗抑郁治疗<span style="color: black;">药品</span>,如三环类<span style="color: black;">药品</span>效果相当,<span style="color: black;">拥有</span>广泛的抗抑郁<span style="color: black;">功效</span>,但对性功能影响较小,<span style="color: black;">因此呢</span>在抑郁症中的应用率较高,但存在不良反应<span style="color: black;">出现</span>,<span style="color: black;">意见</span>不在睡前用药。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q8.itc.cn/images01/20240222/18fc3b17a91d4ede8f005d3bbc3c0991.bmp" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">以上</span><span style="color: black;">便是</span>当前<span style="color: black;">重点</span>的抗抑郁<span style="color: black;">药品</span>,<span style="color: black;">然则</span>单一的进行<span style="color: black;">药品</span>治疗的效果并<span style="color: black;">不良</span>,最好的治疗方式是结合心理治疗,抑郁症的治疗是<span style="color: black;">必须</span><span style="color: black;">长时间</span><span style="color: black;">保持</span>的,不是简简单单的你觉得好,<span style="color: black;">便是</span>好了,遵从医嘱,<span style="color: black;">协同</span>治疗<span style="color: black;">尤其</span><span style="color: black;">重要</span>。<a style="color: black;"><span style="color: black;">返回<span style="color: black;">首页</span>,查看<span style="color: black;">更加多</span></span></a></p>
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