中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
1期
37-38
,共2页
产后抑郁症%抗抑郁药%心理干预%疗效
產後抑鬱癥%抗抑鬱藥%心理榦預%療效
산후억욱증%항억욱약%심리간예%료효
Postpartum psychosis%Antidepressant%Psychological intervention%Curative effect
目的：比较药物治疗与心理干预两种方法治疗产后抑郁症的疗效。方法：回顾性分析本科125例产后抑郁症患者的临床资料，其中药物治疗组67例，心理干预组58例，药物治疗组口服抗抑郁药舍曲林50 mg，1次/d。心理干预组由其责任医师对产妇进行心理评估，制定个体化的心理干预措施，使产妇保持良好的心态。比较两组患者在6个月内、6~12个月、大于12个月痊愈的人数、治愈率及两组的疗效。结果：两种治疗方法均有效，但心理干预组的治疗疗效明显优于药物治疗组，比较差异有统计学意义（字2=23.62，P<0.01）。结论：心理干预能较快地治疗产后抑郁症，使产妇的心理状态更佳，抑郁症危险降低的幅度更大，而且缩短了抗抑郁药物的剂量和疗程，相应的减轻了药物的副作用。
目的：比較藥物治療與心理榦預兩種方法治療產後抑鬱癥的療效。方法：迴顧性分析本科125例產後抑鬱癥患者的臨床資料，其中藥物治療組67例，心理榦預組58例，藥物治療組口服抗抑鬱藥捨麯林50 mg，1次/d。心理榦預組由其責任醫師對產婦進行心理評估，製定箇體化的心理榦預措施，使產婦保持良好的心態。比較兩組患者在6箇月內、6~12箇月、大于12箇月痊愈的人數、治愈率及兩組的療效。結果：兩種治療方法均有效，但心理榦預組的治療療效明顯優于藥物治療組，比較差異有統計學意義（字2=23.62，P<0.01）。結論：心理榦預能較快地治療產後抑鬱癥，使產婦的心理狀態更佳，抑鬱癥危險降低的幅度更大，而且縮短瞭抗抑鬱藥物的劑量和療程，相應的減輕瞭藥物的副作用。
목적：비교약물치료여심리간예량충방법치료산후억욱증적료효。방법：회고성분석본과125례산후억욱증환자적림상자료，기중약물치료조67례，심리간예조58례，약물치료조구복항억욱약사곡림50 mg，1차/d。심리간예조유기책임의사대산부진행심리평고，제정개체화적심리간예조시，사산부보지량호적심태。비교량조환자재6개월내、6~12개월、대우12개월전유적인수、치유솔급량조적료효。결과：량충치료방법균유효，단심리간예조적치료료효명현우우약물치료조，비교차이유통계학의의（자2=23.62，P<0.01）。결론：심리간예능교쾌지치료산후억욱증，사산부적심리상태경가，억욱증위험강저적폭도경대，이차축단료항억욱약물적제량화료정，상응적감경료약물적부작용。
Objective:To compare the curative effect of drug treatment and psychological intervention methods in the treatment of postpartum depression.Method:The clinical data of 125 patients with postpartum depression in our department were analyzed retrospectively,they were randomly divided into the drug therapy group for 67 cases and the psychological intervention group for 58 cases.The drug therapy group was given oral administration Antidepressant Sertraline 50 mg once a day.The psychological intervention was given a psychological evaluation by the responsible physician,the responsible physician made psychological intervention of individual to keep maternity patients had a good attitude.The number of cure and the cure rate of two groups of patients at 6 months,6-12 months and more than 12 months were compared,and the efficacy of the two groups was compared.Result:Two kinds of treatment methods were effective,but the efficacy of psychological intervention group was better than the drug group,the difference was statistically significant(X2=23.62,P<0.01). Conclusion:Psychological intervention can treat the postpartum depression fast so that the maternity patient have a better mental state.What’s more, psychological intervention can force a yet bigger decline about the risk of postpartum depression and reduce the dose and duration of antidepressant drugs, corresponding to alleviate the side effects of drugs.
