老年冠心病合并抑郁患者临床治疗效果分析

2016-09-10刘庆鹏赵春玲51所门诊部北京100072

系统医学 2016年7期

刘庆鹏，赵春玲51所门诊部，北京　100072

老年冠心病合并抑郁患者临床治疗效果分析

刘庆鹏，赵春玲
51所门诊部，北京100072

目的研究分析老年冠心病合并抑郁症的临床治疗方法与疗效。方法收集2014年6月—2015年6月该所诊治的老年冠心病伴抑郁症患者150例，随机分为治疗组75例与对照组75例。对照组实施常规治疗；治疗组在对照组基础上加用抗抑郁药物盐酸氟西汀胶囊，并予以心理干预治疗，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。结果治疗组总有效率为94.67%，显著优于对照组的81.33%差异有统计学意义（P＜0.05），且两组治疗后的SDS评分与治疗前比较均有显著改善，且治疗组的改善情况显著优于对照组差异有统计学意义（P＜0.05）。结论老年冠心病（CHD）合并抑郁症（MDD）患者在实施常规治疗外，同时予以抗抑郁药物治疗，并配合心理干预，能够有效提高临床治疗效果，值得在临床上推广应用。

冠心病（CHD）；抑郁症（MDD）；老年患者；心理干预

［Abstract］Objective To study the efficacy of treating elderly patients with coronary heart disease（CHD）and major depressive disorder（MDD）.Methods 150 elderly patients with CHD and MDD hospitalized in our hospital between June，2014 and June，2015 were selected as research targets.They were randomly divided into the treatment group（75）and the control group（75）.The control group received conventional treatment.Apart from conventional treatment，the treatment group underwent additional treatment of antidepressant drug—fluoxertine hydrochloride aided by psychological intervention.Simultaneously，a self-rating depression scale（SDS）was carried out to analyze the patients’emotional state before and after treatment.Results The total effective rate of the treatment group was94.67%，which was obviously better than that of the control group（81.33%），and the difference was significant（P＜0.05）.The two groups had undergone improvement in SDS，and the treatment group had a better performance of the two.Conclusion Based on the conventional method，the additional treatment of antidepressant drugs and psychological intervention can effectively improve the efficacy of treatment，It is worthy of wide application.

［Key words］CHD；MDD；Elderly patients；Psychological intervention

冠心病（Coronary Heart Disease，CHD）是临床上较为常见的心血管类疾病，且治愈难度大、发病率较高。老年患者在多种因素作用下还易出现焦虑、抑郁等负面情绪，对老年患者的生活质量产生不良影响，严重威胁患者的生命健康［1］。该所自2013年1月—2016年1月起月对门诊部收治的150例老年冠心病（CHD）合并抑郁症（Major Depressive Disorder，MDD）患者实施常规治疗外，同时予以抗抑郁药物治疗，并配合心理干预，疗效较为满意，现报道如下。