综合干预联合药物治疗在首发老年抑郁症患者中的疗效分析

Comprehensive intervention combined with drug therapy in elderly patients with first-episode depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(3)
作者
作者单位

南充市身心医院 ;

摘要
目的 探讨综合干预联合药物治疗在首发老年抑郁症患者中的临床效果。方法 选取首发老年抑郁症患者80例,按照随机数字表的方法,随机地分为观察组(n =40)和对照组(n =40),观察组患者采取综合干预措施联合西酞普兰治疗,对照组患者单纯给予西酞普兰治疗,两组均治疗12周。分别比较治疗前后两组患者的汉密尔顿抑郁量表(HAMD)评分、生存质量测试(SF-36)评分以及治疗总有效率和不良反应发生率。结果 治疗前两组患者的HAMD和SF-36评分差异均无统计学意义(P >0.05)。治疗后:观察组患者HAMD评分显著低于对照组患者(P <0.05);观察组患者SF-36评分显著高于对照组(P <0.05);观察组患者治疗总有效率显著高于对照组,不良反应发生率显著低于对照组(P <0.05)。结论 综合干预措施联合药物治疗首发老年抑郁症疗效优于单用药物,能够更好地改善患者的生存质量。
Abstract
Objective To explore the clinical effects of comprehensive intervention combined with drug therapyon the elderly patients with depression. Methods 80 cases of elderly patients with depression were selected and ran-domly divided into the observation group (n =40)and the control group (n =40). The observation group was treated bycomprehensive intervention combined with citalopram,thecontrol group was treated by citalopram. Two groups of pa-tients were treated for 12 weeks. The Hamilton Depression Rating Scale (HAMD)score,the Quality of Life Index Test(SF-36),the total incidence rate and adverse reaction were respective compared between two groups. Results Beforetreatment,there were no significant difference in HAMD scoresand SF-36 scoresbetween two groups(P >0.05). Aftertreatment,HAMD score of the observation group was significantly lower than that in the control group (P >0.05),andthe SF-36 score of the observation group is significantly higher than that in the control group(P >0.05). The total inci-dence rate of the observation group is significantly higher than that in the control group(P >0.05),the adverse reactionof the observation group was significantly lower than that in the control group (P >0.05). Conclusion The effect of thecomprehensive intervention combined with citalopram in treatment of the elderly patients with depression is better thanthat treat with citalopram alone.
关键词
综合干预;老年抑郁症;生存质量
KeyWord
Comprehensive intervention;Elderly patients with depression;Quality of life
基金项目
页码 455-457
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邓红梅*,张 辉,张 异,魏 丽. 综合干预联合药物治疗在首发老年抑郁症患者中的疗效分析 [J]. 国际精神病学杂志. 2016; 43; (3). 455 - 457.

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