老年脑血管疾病伴抑郁症的临床观察及治疗  

Clinical Observation and Treatment of Senile Cerebrovascular Disease With Depression

作　　者：杨勇[1] 范玉伟[1] 徐秀芝[1] YANG Yong;FAN Yuwei;XU Xiuzhi(Department of Second Neurology,Nangang Hospital of Heilongjiang Hospital,Harbin Heilongjiang 150001,China)

机构地区：[1]黑龙江省医院南岗院区神经内二科,黑龙江哈尔滨150001

出　　处：《中国卫生标准管理》2019年第6期33-35,共3页China Health Standard Management

摘　　要：目的探讨老年脑血管疾病伴抑郁症的临床观察与治疗效果。方法选择我院接受治疗的74例老年脑血管疾病伴抑郁症患者作为研究对象,分为对照组和观察组,每组各37例。对照组采用药物治疗,观察组在此基础上联合心理干预治疗,比较两组患者的治疗效果与抑郁改善情况。结果观察组患者的治疗有效率为94.59%,高于对照组的78.38%,差异具有统计学意义(P <0.05)。治疗后,观察组患者的HAMD评分低于对照组,且差异具有统计学意义(P <0.05)。结论采用药物联合心理治疗对老年脑血管疾病伴抑郁症患者的疗效显著,可有效改善患者抑郁状态,提高患者生活质量。Objective To explore the clinical observation and therapeutic effect of senile cerebrovascular disease with depression.Methods 74 elderly patients with cerebrovascular disease and depression were selected as the research objects,and divided into control group and observation group,37 cases in each group.The control group was treated with medication,while the observation group was treated with psychological intervention on this basis.The therapeutic effect and depression improvement of the two groups were compared.Results The effective rate of treatment in the observation group was 94.59%,which was significantly higher than 78.38%in the control group(P<0.05).After treatment,the HAMD score of the observation group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Drug therapy combined with psychotherapy has a significant effect on elderly patients with cerebrovascular disease and depression.It can effectively improve the depressive state of patients and improve the quality of life of patients,and has a certain clinical popularization value.

关 键 词：脑血管疾病 抑郁症 老年患者 心理干预 临床观察 治疗效果 

分 类 号：R541[医药卫生—心血管疾病]