摘要
目的:探讨老年冠心病伴抑郁症的临床治疗效果。方法:对120例老年(≥60岁)冠心病伴抑郁症患者进行随机分组,每组各60例,对照组给予常规治疗,观察组在此基础上加用抗抑郁药物(氟西汀胶囊)和心理疏导进行干预,同时选择抑郁自评量表(SDS)对两组患者治疗前后的情绪状况进行分析和比较。结果:观察组共有53例治愈,总有效率为88.3%,与对照组的37例(61.7%)比较,差异有统计学意义(P<0.05);并且在SDS评分方面,观察组治疗后的评分与治疗前、对照组比较差异有统计学意义(P<0.05)。结论:在常规治疗的基础上,给予老年冠心病伴抑郁症患者口服抗抑郁药和心理疏导,能够有效提高临床治疗效果,帮助患者改善情绪,值得进一步推广和使用。
Objective To study the clinical therapeutic effect of senile coronary heart disease with depression. Methods 120 cases（≥60 years of age）of elderly patients with coronary heart disease with depression were randomly grouping,each group of 60 cases,give control group routine treatment,the observation group based on the use of antidepressant drugs（fluoxetine capsules）and psychological counseling intervention,at the same time,choose the depression self rating scale（SDS）before and after treatment in patients with two groups of emo-tional state are analyzed and compared. Results The observation group a total of 53 cases were cured,the total effective rate was 88. 3% ,37 cases of 61. 7% compared with control group,the difference was statistically significant（P ﹤ 0. 05）;And in terms of SDS score,observa-tion group after treatment compared with before treatment,the control,the ratings of prompt difference was statistically significant（P ﹤0. 05）. Conclusion On the basis of conventional treatment,give oral antidepressant drugs in elderly patients with coronary heart disease with depression and psychological counseling,can effectively improve the clinical therapeutic effect,help patients improve mood,is worth further promotion and use.
出处
《吉林医学》
CAS
2014年第21期4613-4614,共2页
Jilin Medical Journal
关键词
冠心病
抑郁症
临床疗效
Coronary heart disease
Depression
Clinical curative effect
