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Effect of Aripiprazole Combined with Sertraline on Obsessive-compulsive Disorder and Effects of Brain-derived Neurotrophic Factor TNF and IL-2 |
BU Qinfang, CHEN Fangbin |
The 904 Hospital of PLA, Jiangsu Changzhou 213001, China |
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Abstract Objective: To study the therapeutic effect of aripiprazole combined with sertraline on obsessive-compulsive disorder and effects of brain-derived neurotrophic factor, tumor necrosis factor (TNF) and interleukin-2 (IL-2). Methods: 82 received therapy from March 2017 to March 2018 in our hospital were selected as research objects. According to random number table,all the patients were divided into the observation group (n=42) and the control group (n=40). The control group was treated with Sertraline, while the observation group treated with Aripiprazole combined with sertraline. Then the Therapeutic efficacy, Yale Brown Obsessive-compulsive Disorder Scale (Y-BOCS) and Hamilton Anxiety Scale (HAMA) score, brain-derived neurotrophic factor, TNF, IL-2 level, incidence of adverse reactions of two groups after treatment were compared. Results: After treatment, The total effective rate of observation group was significantly higher than that of control group[92.85%(39/42)vs 70.00%(28/40)](P<0.05).Y-BOCS and HAMA scores were significantly lower than those of the control group [(9.86±3.13)scores vs(14.42±4.52)scores,(7.68±2.10)scores vs(12.06±3.09)scores](P<0.05). The levels of brain-derived neurotrophic factor and TNF were significantly higher than those of the control group [(40.02±5.87)μg/L vs(29.76±4.95)μg/L(38.49±8.98)μg/L vs(34.09±7.34)μg/L](P<0.05). The level of IL-2 was significantly lower than that of the control group[(50.32±6.28)ng/L vs(62.93±7.59)ng/L](P<0.05). Conclusion: Aripiprazole combined with sertraline is effective in the treatment of obsessive-compulsive disorder. It can improve the clinical symptoms, regulate the secretion of neurotransmitters in the brain, and improve the levels of brain-derived neurotrophic factor, TNF and IL-2. It is safe and reliable.
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