Changes of Serum C-Reactive Protein Level in Patients With Depressive Disorders After Treatment With Agomelatine Combined With Aerobic Exercise and Its Significance.

IF 0.8 4区 医学 Q4 CLINICAL NEUROLOGY Clinical Neuropharmacology Pub Date : 2023-09-01 Epub Date: 2023-09-12 DOI:10.1097/WNF.0000000000000568
Zhuping Sun, Silu Chen, Hui Zhang, Xiaoqing Gu, Haiyan Ge, Jinglei Chen
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Abstract

Objective: Depressive disorders constitute a series of debilitating diseases. This study investigated the therapeutic effect of agomelatine (AG) combined with aerobic exercise (AE) on patients with moderate-severe depression (MSD) and the changes of the serum C-reactive protein (CRP) level in patients after treatment as well as its significance.

Methods: A total of 178 MSD patients were randomly assigned to the AG group (N = 90) and AG + AE group (N = 88). The severity of depressive disorders and anhedonia was assessed using the Hamilton Rating Scale for Depression (HAM-D), Beck Depression Inventory, and Snaith-Hamilton Pleasure Scale scores. The serum CRP level in MSD patients was detected by turbidity assay. Patients were defined as remitters, responders, and nonresponders according to the HAM-D 17 score, and the treatment efficacy was analyzed, followed by evaluation of the serum CRP level in patients with different treatment responses. Finally, the adverse reactions of patients during treatment were statistically analyzed.

Results: After treatment, the HAM-D, Beck Depression Inventory, and Snaith-Hamilton Pleasure Scale scores and the serum CRP level of the 2 groups were reduced, and changes in the AG + AE group was more significant than that in the AG group. The clinical efficacy of the AG + AE group was better than that of the AG group. After treatment, the serum levels of CRP in remitters and responders were reduced, but not significantly in nonresponders. The incidence of adverse events in the AG + AE group was lower than that in the AG group.

Conclusion: AG + AE reduced the serum level of CRP in MSD patients and had good therapeutic effects on MSD patients.

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抑郁症患者阿戈美拉汀联合有氧运动治疗后血清C反应蛋白水平的变化及其意义。
目的:抑郁症是一系列使人衰弱的疾病。本研究探讨阿戈美拉汀(AG)联合有氧运动(AE)治疗中重度抑郁症(MSD)的疗效及治疗后患者血清C反应蛋白(CRP)水平的变化及其意义。方法:将178例MSD患者随机分为AG组(N=90)和AG+AE组(N=88)。使用汉密尔顿抑郁量表(HAM-D)、贝克抑郁量表和斯奈思-汉密尔顿快乐量表评分来评估抑郁障碍和快感缺乏的严重程度。浊度法检测MSD患者血清CRP水平。根据HAM-D17评分,将患者定义为缓解者、有反应者和无反应者,分析治疗效果,然后评估不同治疗反应患者的血清CRP水平。最后,对患者在治疗过程中的不良反应进行统计分析。结果:治疗后,两组患者HAM-D、Beck抑郁量表、Snaith-Hamilton快乐量表评分及血清CRP水平均下降,且AG+AE组的变化比AG组更显著。AG+AE组的临床疗效优于AG组。治疗后,缓解者和应答者的血清CRP水平降低,但无应答者的CRP水平没有显著降低。AG+AE组的不良事件发生率低于AG组。结论:AG+AE可降低MSD患者血清CRP水平,对MSD患者有良好的治疗作用。
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来源期刊
Clinical Neuropharmacology
Clinical Neuropharmacology 医学-临床神经学
CiteScore
1.20
自引率
10.00%
发文量
63
审稿时长
6-12 weeks
期刊介绍: Clinical Neuropharmacology is a peer-reviewed journal devoted to the pharmacology of the nervous system in its broadest sense. Coverage ranges from such basic aspects as mechanisms of action, structure-activity relationships, and drug metabolism and pharmacokinetics, to practical clinical problems such as drug interactions, drug toxicity, and therapy for specific syndromes and symptoms. The journal publishes original articles and brief reports, invited and submitted reviews, and letters to the editor. A regular feature is the Patient Management Series: in-depth case presentations with clinical questions and answers.
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