108例冠心病伴抑郁的临床治疗分析  

The coronary heart disease associated with depression: a clinical analysis of 108 cases

作　　者：黎文生[1] 陈巧平[2] 

机构地区：[1]广东省佛山市顺德第一人民医院心血管内科,广东佛山528300 [2]广东省佛山市顺德第一人民医院心理科,广东佛山528300

出　　处：《中国现代医生》2012年第35期149-150,共2页China Modern Doctor

摘　　要：目的观察和探讨综合治疗对冠心病伴抑郁的临床疗效。方法将108例患者随机分为两组,每组54人。对照组采用常规药物治疗,试验组采用常规药物加心理治疗及综合护理,治疗时间为12周,对比治疗前后两组患者的汉密尔顿抑郁量表评分、疗效及hs-CRP变化以进行评定。结果两组患者的抑郁量表评分均较治疗前改善(P<0.05),治疗后试验组的评分改善明显优于对照组;试验组总有效率94.44%,对照组总有效率87.03%,试验组疗效及hs-CRP均优于对照组。结论综合治疗对冠心病伴抑郁的临床疗效好,值得推广。Objective To observe and discuss the clinical efficacy of the treatment of coronary heart disease associated with depression. Methods A total of 108 patients were randomly divided into two groups, 54 patients are in each group. The control group takes the conventional drug treatment, and the treatment group takes psychological treatment and comprehen- sive nursing care combine conventional drug treatment. The curative time is last for 12 weeks. The contrasts between the two groups were taken before and after the treatment in patients, according to Hamilton depression scale, curative effect and hs-CRP changes for evaluation. Results the depression rating scales of both two groups are improved compared with before the treatment （P 〈 0.05） the treatment group is better than the control after the treatment. The treatment group total effective rate is 94.44%, the comparison＇s 87.03%, effect and hs - CRP of treatment group is superior to the control. Conclusion The comprehensive treatment for coronary heart disease associated with depression do have good clinical curative effect and worth promotion.

关 键 词：冠心病 抑郁 综合治疗 

分 类 号：R541.4[医药卫生—心血管疾病]