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目的:观察氯硝西泮治疗社交恐怖症的疗效。方法:社交恐怖症36例(男性15例,女性21例,年龄26a±s8a,病程4.0a±2.0a)采用氯硝西泮4~10mg/d,po,疗程8wk。另外采用丙米嗪治疗同类病人32例(男性14例,女性18例,年龄25.0a±2.7a,病程3.4a±2.7a),用量100~300mg/d,po,疗程8wk。结果:氯硝西泮组显效率为56%,总有效率为81%;丙米嗪组显效率为50%,总有效率75%,2组疗效差异无显著意义(P>0.05),氯硝西泮组不良反应较丙米嗪组少。结论:氯硝西泮对社交恐怖症有肯定的治疗作用,近、远期疗效较好,且不良反应较少。
Objective: To observe the efficacy of clonazepam in the treatment of social phobia. Methods: 36 cases of social phobia (15 males and 21 females, age 26a ± s8a, duration 4.0a ± 2.0a) were treated with clonazepam 4 ~ 10mg / d, po for 8 weeks. Another use of imipramine treatment of 32 patients (14 males, 18 females, age 25.0a ± 2.7a, duration 3.4a ± 2.7a), the amount of 100 ~ 300mg / d, po, treatment 8wk. Results: The effective rate was 56% in the clonazepam group, and the total effective rate was 81%. The effective rate was 50% and the total effective rate was 75% in the imipramine group. There was no significant difference between the two groups (P> 0.05) The side effects of clonazepam were less than that of imipramine group. Conclusion: Clonazepam has a certain therapeutic effect on social phobia. The curative effect of long-term and long-term is better with fewer adverse reactions.