Wang YF, Liu J, Li R. Esomeprazole combined with Deanxit for treatment of
non-erosive gastroesophageal reflux disease with depression in elderly patients: Efficacy and impact on quality of life.
Shijie Huaren Xiaohua Zazhi 2015;
23:777-781. [DOI:
10.11569/wcjd.v23.i5.777]
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Abstract
AIM: To explore the efficacy of esomeprazole combined with Deanxit in the treatment of non-erosive gastrooesophageal reflux disease (NERD) with depression in elderly patients and their impact on quality of life.
METHODS: From January 2012 to December 2013, 82 elderly NERD outpatients with depression treated at our department were randomly assigned into either a control group or an observation group (n = 41 for each). Both groups received 20 mg esomeprazole orally before breakfast, and only the observation group received 20 mg Deanxit orally after breakfast for eight consecutive weeks. The gastroesophageal reflux disease (GERD) questionnaire was used to analyze the overall and individual symptom scores before and after treatment. The Hamilton depression scale (HAMD), Zung self-rating depression scale (SDS) and the Chinese version of SF-36 scale were employed to evaluate the improved status of depression and quality of life. Meanwhile, the adverse reactions during medication were recorded.
RESULTS: The total effective rate in the observation group was higher than that in the control group (92.7% vs 75.6%, P < 0.05). No significant difference was observed in symptoms, depression or quality of life before treatment between the two groups, but the above parameters were significantly better after treatment in both groups (P < 0.05). In comparison with the control group, the observation group had significantly decreased scores of overall and individual symptoms of the GERD questionnaire and HAMD and SDS scores, but increased scores of body and psychological related quality of life (P < 0.05). Adverse reactions were mild, and similar between the two groups (P > 0.05).
CONCLUSION: Esomeprazole combined with Deanxit has a better effect than esomeprazole alone in the treatment of elderly NERD with depression in terms of improved symptoms, quality of life and depression.
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