艾司西酞普兰结合心理干预对围绝经抑郁症患者生活质量的影响分析

Impact of quality of life in patients with perimenopausal depression accepted wih escitalopram combined psychological intervention.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(4)
作者
作者单位

驻马店市中医院妇产三科 ;

摘要
【摘要】目的:探讨艾司西酞普兰结合心理干预治疗围绝经抑郁症的临床疗效及其对患者生活质量的影响。方法:选取2014年6月~2016年1月我院收治的88例围绝经抑郁症患者作为研究对象,并随机分为对照组和研究组各44例。两组患者均给予激素替代治疗,对照组患者给予艾司西酞普兰治疗,而研究组患者则在对照组的基础上给予心理干预治疗。于治疗前后采用汉密尔顿抑郁量表(HAMD)、匹兹堡失眠质量指数(PSQI)以及更年期症状评分(Kupperman)对两组患者的临床症状和体征进行评价,并以HAMD评分的减分率作为疗效评定指标,评估两组患者治疗的临床疗效。于治疗前和治疗后6个月采用SF-36量表对两组患者的生活质量进行评价。结果:研究组患者治疗的总有效率为88.64%,显著低于对照组的70.45%,两组间差异有统计学意义(P<0.05);研究组患者治疗后的HAMD、PSQI和Kupperman评分分别为(12.21±3.06)分、(8.54±1.46)分和(12.04±2.18)分,显著低于对照组的(16.43±2.87)分、(11.62±2.08)分和(14.64±3.21)分,两组间差异有统计学意义(P<0.05);研究组患者治疗后6个月生理功能、生理职能、躯体疼痛、总体健康、社会功能、活力、情感职能和精神健康8个维度的生活质量评分均高于对照组的,两组间差异有统计学意义(P<0.05)。结论:艾司西酞普兰结合心理干预可有效改善围绝经抑郁症患者的睡眠质量和抑郁状态,提高患者的生活质量,疗效确切,值得应用于临床。
Abstract
[Abstract]Objective:To discuss the impact of quality of life in patients with perimenopausal depression accepted wih escitalopram combined psychological intervention.Methods:88 patients with perimenopausal depression from June 2014 to January 2016 were randomly selected and divided into 44 patients of them accepted with hormone replacement therapy and escitalopram were taken as control group,while the other 44 patients of them accepted with psychological intervention on the basic of control group were taken as research group.Compared the scores of HAMD, PSQI and Kupperman with two group, and evaluate the clinical effects on two groups. Graded the scores of quality of life with two groups before and after treatments in 6 months.Results:The total effective rate was 88.64% in research group,while that in control group was 70.45%( P<0.05);The scores of HAMD、PSQI and Kupperman were (12.21±3.06),(8.54±1.46) and (12.04±2.18) in research group after treatments,while that in control group were (16.43±2.87),(11.62±2.08) and (14.64±3.21),differences between two groups had statistical significance( P<0.05). The hysiological function, physiological function, body pain, general health, social function, dynamic, emotional functions and mental health eight dimensions of life quality scores of research group after treatments in 6 months were also higher than that in control group, differences were statistically significant(P<0.05).Conclusions:Patients with perimenopausal depression accepted wih escitalopram combined psychological intervention can improve sleep quality,depressive state and quality of life with exact effect,which is worthy of clinical use.
关键词
【关键词】艾司西酞普兰;心理干预;围绝经抑郁症;生活质量
KeyWord
[Keywords]Escitalopram;Psychological intervention;Perimenopausal depression;Quality of life
基金项目
页码 704-707
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邱慧敏*,寇国桢,魏明燕,陈勇,刘子一,方素珍. 艾司西酞普兰结合心理干预对围绝经抑郁症患者生活质量的影响分析 [J]. 国际精神病学杂志. 2017; 44; (4). 704 - 707.

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