{"id":7090,"date":"2022-06-17T02:49:23","date_gmt":"2022-06-16T18:49:23","guid":{"rendered":"https:\/\/www.mind.org.hk\/mental-health\/%e6%8a%97%e6%8a%91%e9%ac%b1%e8%97%a5\/%e4%bb%80%e9%ba%bc%e6%98%af%e6%8a%97%e6%8a%91%e9%ac%b1%e8%97%a5%ef%bc%9f\/"},"modified":"2025-03-16T02:51:03","modified_gmt":"2025-03-15T18:51:03","slug":"%e4%bb%80%e9%ba%bc%e6%98%af%e6%8a%97%e6%8a%91%e9%ac%b1%e8%97%a5%ef%bc%9f","status":"publish","type":"mental-health","link":"https:\/\/www.mind.org.hk\/zh-hant\/mental-health-a-to-z\/%e6%8a%97%e6%8a%91%e9%ac%b1%e8%97%a5\/%e4%bb%80%e9%ba%bc%e6%98%af%e6%8a%97%e6%8a%91%e9%ac%b1%e8%97%a5%ef%bc%9f\/","title":{"rendered":"\u4ec0\u9ebc\u662f\u6297\u6291\u9b31\u85e5\uff1f"},"content":{"rendered":"<h2><span style=\"font-weight: 400;\">\u4ec0\u9ebc\u662f\u6297\u6291\u9b31\u85e5\uff1f<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u6297\u6291\u9b31\u85e5\u662f\u88ab\u8a31\u53ef\u7528\u65bc\u6cbb\u7642\u6291\u9b31\u75c7\u7684\u7cbe\u795e\u79d1\u85e5\u7269\u3002\u6709\u4e9b\u9084\u88ab\u8a31\u53ef\u7528\u65bc\u6cbb\u7642\u5176\u4ed6\u75be\u75c5\uff0c\u4f8b\u5982:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">\u7126\u616e\u75c7<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u6050\u61fc\u75c7<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u66b4\u98df\u75c7\uff08\u98f2\u98df\u5931\u8abf\uff09<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u4e00\u4e9b\u8eab\u9ad4\u72c0\u6cc1\uff0c\u5305\u62ec\u63a7\u5236\u9577\u671f\u75bc\u75db<\/span><\/li>\n<\/ul>\n<h3><strong>\u8ab0\u53ef\u4ee5\u8655\u65b9\u6297\u6291\u9b31\u85e5\uff1f<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">\u53ef\u4ee5\u7d66\u4f60\u8655\u65b9\u6297\u6291\u9b31\u85e5\u7684\u91ab\u7642\u5c08\u696d\u4eba\u54e1\u5305\u62ec<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">\u7cbe\u795e\u79d1\u91ab\u751f<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u4f60\u7684\u5bb6\u5ead\u91ab\u751f<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u4f60\u7684\u91ab\u751f\u53ef\u4ee5\u8655\u65b9\u4e0d\u540c\u7a2e\u985e\u7684\u6297\u6291\u9b31\u85e5\uff0c\u4e0d\u904e\u5c0d\u65bc\u90e8\u4efd\u6297\u6291\u9b31\u85e5\uff0c\u53ea\u6709\u4f60\u5728\u7cbe\u795e\u75c5\u91ab\u751f\u7b49\u7cbe\u795e\u5065\u5eb7\u5c08\u696d\u4eba\u58eb\u7684\u76e3\u5bdf\u4e0b\u624d\u80fd\u8655\u65b9\u3002<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u9019\u4e9b<\/span><span style=\"font-weight: 400;\">\u8cc7\u8a0a<\/span><span style=\"font-weight: 400;\">\u9801\u6d89\u53ca\u70ba\u4f60\u8655\u65b9\u85e5\u7269\u7684\u91ab\u751f\uff0c\u56e0\u70ba\u4ed6\u5011\u662f\u6700\u6709\u53ef\u80fd\u70ba\u4f60\u8655\u65b9\u6297\u6291\u9b31\u85e5\u7684\u4eba\u3002<\/span><\/p>\n<blockquote><p><span style=\"font-weight: 400;\">\u300c\u6211\u670d\u7528\u4e86\u85e5\u7269\u516d\u500b\u6708\u3002\u5b83\u5e6b\u52a9\u6d88\u9664\u9670\u973e\u3001\u7d66\u4e88\u6211\u8655\u7406\u6291\u9b31\u75c7\u6839\u6e90\u7684\u529b\u91cf\u3002\u670d\u7528\u85e5\u7269\u4f86\u6cbb\u7642\u75be\u75c5\u4e26\u4e0d\u53ef\u6065\u3002\u300d<\/span><\/p><\/blockquote>\n<h3><strong>\u6297\u6291\u9b31\u85e5\u5982\u4f55\u767c\u63ee\u4f5c\u7528\uff1f<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">\u6297\u6291\u9b31\u85e5\u53ef\u4ee5\u6cbb\u7642\u6291\u9b31\u75c7\u6216\u5176\u4ed6\u7cbe\u795e\u5065\u5eb7\u554f\u984c\u7684\u75c7\u72c0\uff0c\u4f46\u672a\u5fc5\u53ef\u4ee5\u6839\u6cbb\u554f\u984c\u3002\u91ab\u751f\u901a\u5e38\u6703\u7528\u4ee5\u914d\u5408\u5fc3\u7406\u6cbb\u7642\uff0c\u4ee5\u5e6b\u52a9\u4f60\u8457\u624b\u8655\u7406\u7cbe\u795e\u5065\u5eb7\u554f\u984c\u7684\u6839\u672c\u3002<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u4f60\u53ef\u80fd\u6703\u89ba\u5f97\u67d0\u985e\u578b\u7684\u6297\u6291\u9b31\u85e5\u5c0d\u4f60\u7684\u75c7\u72c0\u8f03\u6709\u6548\u3002\u53c8\u6216\u8005\uff0c\u4f60\u53ef\u80fd\u6703\u767c\u73fe\u6297\u6291\u9b31\u85e5\u4e26\u4e0d\u9069\u5408\u4f60\u3002\u8acb\u53c3\u8003\u6211\u5011\u7684\u6297\u6291\u9b31\u85e5\u9801\u9762\uff0c\u4ee5\u4e86\u89e3\u66f4\u591a<\/span><span style=\"font-weight: 400;\">\u8cc7\u8a0a<\/span><span style=\"font-weight: 400;\">\u3002<\/span><\/p>\n<h3><strong>\u6297\u6291\u9b31\u85e5\u80cc\u5f8c\u7684\u79d1\u5b78\u539f\u7406\u662f\u4ec0\u9ebc\uff1f<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">\u6297\u6291\u9b31\u85e5\u80fd\u589e\u5f37\u7279\u5b9a\u5927\u8166\u5316\u5b78\u7269\u8cea\u7684\u6d3b\u6027\uff0c\u6216\u4f7f\u5176\u6d3b\u6027\u6301\u7e8c\u66f4\u9577\u7684\u6642\u9593\uff0c\u5176\u4e2d\u5305\u62ec\u53bb\u7532\u814e\u4e0a\u817a\u7d20\uff08Norepinephrine\uff09\u548c\u8840\u6e05\u7d20\uff08Serotonin\uff09\uff0c\u5b83\u5011\u8207\u8abf\u7bc0\u60c5\u7dd2\u6709\u95dc\u3002<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u6b63\u814e\u4e0a\u817a\u7d20\uff08Noradrenaline\uff09\u548c\u8840\u6e05\u7d20\uff08Serotonin\uff09\u662f\u795e\u7d93\u905e\u8cea\uff0c\u5b83\u5011\u7684\u529f\u7528\u662f\u5728\u5927\u8166\u4e2d\u7684\u795e\u7d93\u7d30\u80de\u4e4b\u9593\uff0c\u4ee5\u53ca\u4eba\u9ad4\u5176\u4ed6\u90e8\u5206\u7684\u795e\u7d93\u8207\u5176\u4ed6\u5668\u5b98\u4e4b\u9593\u50b3\u905e\u8a0a\u606f\u3002<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u901a\u904e\u6539\u8b8a\u4f60\u7684\u5927\u8166\u5316\u5b78\u6027\u8cea\uff0c\u6297\u6291\u9b31\u85e5\u53ef\u80fd\u6703\u6539\u5584\u4f60\u7684\u60c5\u7dd2\uff0c\u4f46\u662f\u6297\u6291\u9b31\u85e5\u4e26\u4e0d\u9069\u5408\u6240\u6709\u4eba\u3002\u53e6\u5916\uff0c\u73fe\u6642\u6c92\u6709\u79d1\u5b78\u8b49\u64da\u8b49\u660e\uff0c\u6291\u9b31\u75c7\u662f\u7531\u6297\u6291\u9b31\u85e5\u7cfe\u6b63\u7684\u5316\u5b78\u5931\u8861\u800c\u5f15\u8d77\u7684\u3002<\/span><\/p>\n<h3><strong>\u6709\u54ea\u4e9b\u985e\u578b\u7684\u6297\u6291\u9b31\u85e5\uff1f<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">\u6709\u5e7e\u7a2e\u4e0d\u540c\u985e\u578b\u7684\u6297\u6291\u9b31\u85e5\u3002\u5b83\u5011\u4e3b\u8981\u5f71\u97ff\u76f8\u540c\u7684\u5927\u8166\u5316\u5b78\u7269\u8cea\uff0c\u4e26\u7522\u751f\u76f8\u4f3c\u7684\u4f5c\u7528\u3002\u4f46\u662f\u6709\u4e9b\u4eba\u5c0d\u67d0\u4e9b\u6297\u6291\u9b31\u85e5\u7684\u53cd\u61c9\u53ef\u80fd\u6bd4\u5176\u4ed6\u4eba\u597d\uff0c\u4e26\u4e14\u4e0d\u540c\u7684\u85e5\u7269\u53ef\u80fd\u5f15\u8d77\u4e0d\u540c\u7684\u526f\u4f5c\u7528\u3002<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u985e\u578b\u5305\u62ec\uff1a<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">\u9078\u64c7\u6027\u8840\u6e05\u7d20\u518d\u5438\u6536\u6291\u5236\u5291\uff08SSRIs\uff09<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u8840\u6e05\u7d20\u8207\u6b63\u814e\u4e0a\u817a\u7d20\u518d\u5438\u6536\u6291\u5236\u5291\uff08SNRIs\uff09<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u4e09\u74b0\u6297\u6291\u9b31\u85e5\u548c\u8207\u4e09\u74b0\u76f8\u95dc\u85e5\u7269\uff08tricyclics and tricyclic-related drugs\uff09<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u55ae\u80fa\u6c27\u5316\u9176\u6291\u5236\u5291\uff08MAOI\uff09<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u5176\u4ed6\u6297\u6291\u9b31\u85e5<\/span><\/li>\n<\/ul>\n<h4><strong>\u9078\u64c7\u6027\u8840\u6e05\u7d20\u518d\u5438\u6536\u6291\u5236\u5291\uff08SSRIs\uff09<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">\u95dc\u65bc SSRI\uff1a<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">SSRI \u4e3b\u8981\u963b\u6b62\u8840\u6e05\u7d20\u91cd\u65b0\u9032\u5165\u91cb\u653e\u5b83\u7684\u795e\u7d93\u7d30\u80de\uff0c\u9019\u4ee3\u8868\u8840\u6e05\u7d20\u5728\u4f60\u7684\u5927\u8166\u548c\u8eab\u9ad4\u4e0a\u7684\u4f5c\u7528\u6642\u9593\u66f4\u9577\u3002<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u4f60\u53ef\u80fd\u8a8d\u70ba SSRI \u7684\u526f\u4f5c\u7528\u6bd4\u5176\u4ed6\u6297\u6291\u9b31\u85e5\u66f4\u5bb9\u6613\u61c9\u5c0d\u3002\u4f46\u662f\u9019\u4e9b\u526f\u4f5c\u7528\u4ecd\u7136\u4ee4\u4eba\u4e0d\u8212\u670d\uff0c\u5c24\u5176\u662f\u7576<\/span><span style=\"font-weight: 400;\">\u4f60<\/span><span style=\"font-weight: 400;\">\u525b\u958b\u59cb\u670d\u85e5\u6642\u3002<\/span><\/li>\n<li><span style=\"font-weight: 400;\">SSRI \u662f\u9999\u6e2f\u6700\u5e38\u7528\u7684\u6297\u6291\u9b31\u85e5\u3002<\/span><\/li>\n<\/ul>\n<h4><strong>\u8840\u6e05\u7d20\u8207\u6b63\u814e\u4e0a\u817a\u7d20\u518d\u5438\u6536\u6291\u5236\u5291\uff08SNRIs\uff09<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">\u95dc\u65bc SNRI\uff1a<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">SNRI \u7684\u4f5c\u7528\u8207SSRI\u76f8\u4f3c\uff0c\u4f46\u662fSNRI\u5c0d\u6b63\u814e\u4e0a\u817a\u7d20\u7684\u518d\u5438\u6536\u4e5f\u6709\u986f\u8457\u5f71\u97ff\u3002<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u8207 SSRI \u4e00\u6a23\uff0c\u4f60\u53ef\u80fd\u8a8d\u70ba\u4f7f\u7528SNRI\u4e0d\u6703\u51fa\u73fe\u592a\u591a\u4e0d\u5fc5\u8981\u7684\u526f\u4f5c\u7528\uff0c\u4f46\u662f\u5b83\u5011\u7684\u526f\u4f5c\u7528\u4ecd\u7136\u6703\u4ee4\u4eba\u4e0d\u8212\u670d\u3002<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u6709\u6642SNRI\u66f4\u9069\u5408\u7528\u65bc\u6cbb\u7642\u8f03\u56b4\u91cd\u7684\u6291\u9b31\u75c7\u548c\u7126\u616e\u75c7\u3002<\/span><\/li>\n<\/ul>\n<h4><strong>\u4e09\u74b0\u6297\u6291\u9b31\u85e5\u548c\u8207\u4e09\u74b0\u76f8\u95dc\u85e5\u7269\uff08tricyclics and tricyclic-related drugs\uff09<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">\u95dc\u65bc\u4e09\u74b0\u6297\u6291\u9b31\u85e5\uff1a<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">\u8207 SNRI \u4e00\u6a23\uff0c\u4e09\u74b0\u6297\u6291\u9b31\u85e5\u6703\u5f71\u97ff\u6b63\u814e\u4e0a\u817a\u7d20\u548c\u8840\u6e05\u7d20\u518d\u5438\u6536\uff0c\u5f9e\u800c\u4f7f\u5176\u5c0d\u5927\u8166\u548c\u8eab\u9ad4\u7684\u5f71\u97ff\u6301\u7e8c\u66f4\u9577\u6642\u9593\u3002<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u4f46\u662f\u4e09\u74b0\u6297\u6291\u9b31\u85e5\u4e5f\u6703\u5f71\u97ff\u4f60\u9ad4\u5167\u7684\u5176\u4ed6\u5316\u5b78\u7269\u8cea\uff0c\u9019\u4ee3\u8868\u8457\u5b83\u5011\u6bd4\u5176\u4ed6\u6297\u6291\u9b31\u85e5\u66f4\u6709\u53ef\u80fd\u5f15\u8d77\u4ee4\u4eba\u4e0d\u8212\u670d\u7684\u526f\u4f5c\u7528\u3002<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u7531\u65bc\u5176\u5177\u6709\u4e09\u500b\u74b0\u7684\u5316\u5b78\u7d50\u69cb\uff0c\u6545\u88ab\u7a31\u70ba\u300c\u4e09\u74b0\u300d\u3002<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u6709\u95dc\u4e09\u74b0\u76f8\u95dc\u85e5\u7269\uff1a<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">\u5176\u4f5c\u7528\u8207\u4e09\u74b0\u6297\u6291\u9b31\u85e5\u975e\u5e38\u76f8\u4f3c\uff0c\u4f46\u5316\u5b78\u7d50\u69cb\u7565\u6709\u4e0d\u540c\u3002<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u8207\u5176\u4ed6\u985e\u578b\u7684\u6297\u6291\u9b31\u85e5\uff08\u4f8b\u5982 SSRIs \u6216 SNRIs\uff09\u76f8\u6bd4\uff0c\u8207\u4e09\u74b0\u76f8\u95dc\u85e5\u7269\u5f80\u5f80\u6703\u5f15\u8d77\u66f4\u4ee4\u4eba\u4e0d\u8212\u670d\u7684\u526f\u4f5c\u7528\u3002\u4f46\u76f8\u8f03\u65bc\u4e09\u74b0\u6297\u6291\u9b31\u85e5\uff0c\u4e09\u74b0\u76f8\u95dc\u85e5\u7269\u8f03\u4e0d\u6703\u5f15\u8d77\u6297\u6bd2\u8548\u9e7c\u7684\u526f\u4f5c\u7528\u3002<\/span><\/li>\n<\/ul>\n<h4><strong>\u80fa\u6c27\u5316\u9176\u6291\u88fd\u5291\uff08MAOIs\uff09<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">\u95dc\u65bc MAOI\uff1a<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"> MAOI 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