针灸合并抗抑郁剂治疗对老年期抑郁障碍的疗效分析

Analysis of the efficacy of acupuncture combined with antidepressant treatment on depressive disorders in old age

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(6)
作者
作者单位

济宁医学院 ;
山东省戴庄医院 ;

摘要
研究目的:探讨针灸合并抗抑郁剂治疗老年期抑郁障碍的临床疗效。研究方法:通过医院电子信息系统提取2017年1月1日至2017年12月31日住院治疗的老年期抑郁障碍患者,采取自编病例信息采集表采集患者人口学信息和疾病临床特征信息,根据是否采取针灸治疗将患者分为针灸组和对照组,对比分析针灸合并抗抑郁剂治疗老年期抑郁障碍患者的临床疗效和相关影响因素。研究结果:入组患者714例,平均年龄(66.7±5.2)岁,女性比例高于男(67.8%vs.32.2%),有155人采取针灸治疗,占比21.7%。经比较,针灸组患者的既往住院次数、共病数量、病程、有自杀观念人数、申请会诊人数、首次发作人数明显多于对照组(P<0.05);住院天数、住院费用明显低于对照组(P<0.05)。针灸组内城市人口、伴精神症状、出院疗效达治愈标准所占比例明显高于对照组(P<0.05)。spearman相关性分析显示,针灸组患者的临床疗效与针灸治疗次数呈显著正相关(P<0.05),住院天数、自杀观念、住院费用与针灸次数显著负相关(P<0.05)。研究结论:针灸合并抗抑郁剂治疗能够提高老年期抑郁障碍患者的临床疗效,减少自杀观念,降低住院天数及住院费用,值得推广。
Abstract
Objective: To investigate the clinical efficacy of acupuncture combined with antidepressants in the treatment of depressive disorders in old age.Method: Through the hospital HIS system extracted 714 hospitalized elderly patients with depressive disorder from Jan to Dec 2017, and patients’ information was collected through a self-compiled case information collection form. According to whether the acupuncture treatment was taken or not, patients were divide into 2 groups. Comparative analysis in order to explore the clinical efficacy of acupuncture combined with antidepressant treatment in elderly patients with depressive disorder.Result: 714 patients were enrolled, with an average age of (66.7±5.2) years, and the proportion of women was higher than that of men (67.8% vs. 32.2%). 155 patients (21.7%) were treated with acupuncture. Upon comparison, the number of previous hospitalizations, number of co-morbidities, duration of illness, number of people with suicidal ideation, number of people applying for consultation, and number of first episodes were significantly more in the acupuncture group than in the control group (P < 0.05); the number of hospital days and hospital costs were significantly lower than in the control group (P < 0.05). The proportion of urban population, concomitant psychiatric symptoms, and discharge efficacy to cure criteria within the acupuncture group was significantly higher than that of the control group (P < 0.05). Spearman correlation analysis showed that the clinical efficacy of patients in the acupuncture group was significantly positively correlated with the number of acupuncture treatments (P < 0.05), and the number of hospitalization days, suicidal ideation, and hospitalization costs were significantly negatively correlated with the number of acupuncture treatments (P < 0.05).Conclusion: Acupuncture combined with antidepressant treatment can improve the clinical efficacy of geriatric depression, reduce suicidal ideation, and decrease the number of hospitalization days and hospitalization costs, which is worth promoting.
关键词
老年期抑郁障碍;针灸;抗抑郁剂;临床疗效
KeyWord
Geriatric depression; acupuncture; antidepressant; clinical efficacy
基金项目
页码 1371-1375
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宋海宁,王中刚*,李雪,李桂松,于文平,李猛,杨金梅. 针灸合并抗抑郁剂治疗对老年期抑郁障碍的疗效分析 [J]. 国际精神病学杂志. 2023; 50; (6). 1371 - 1375.

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