CAJ | 학술논문

目的:探求中西医联合治疗青少年抑郁症的疗效是否优于单独运用西医治疗.方法:将78例青少年抑郁症患者随机分为观察组和对照组,两组各39例,观察组服用舍曲林加中药汤剂,而对照组只应用舍曲林.采用汉密尔顿抑郁量表(HAMD)评定临床疗效.结果:观察组治疗有效率为94.44%,对照组有效率为78.38%.两组治疗前 HAMD 得分无显著差异,但治疗后2周、1个月、2个月后观察组减分率显著高于对照组.结论:单用西药治疗青少年抑郁症有一定疗效,但中西医联合治疗具有起效快、疗效稳定和持续时间长的优势,更利于青少年的人格发展和身心健康.
목적:탐구중서의연합치료청소년억욱증적료효시부우우단독운용서의치료.방법:장78례청소년억욱증환자수궤분위관찰조화대조조,량조각39례,관찰조복용사곡림가중약탕제,이대조조지응용사곡림.채용한밀이돈억욱량표(HAMD)평정림상료효.결과:관찰조치료유효솔위94.44%,대조조유효솔위78.38%.량조치료전 HAMD 득분무현저차이,단치료후2주、1개월、2개월후관찰조감분솔현저고우대조조.결론:단용서약치료청소년억욱증유일정료효,단중서의연합치료구유기효쾌、료효은정화지속시간장적우세,경리우청소년적인격발전화신심건강.
Objective: To compare the efficacies between the integrative medicine and modern medicine alone on adolescent depression disorder, to optimize the treatment of adolescent depression. Methods:78 depressed adolescent patients were randomly divided into the treated group and the control group, 39 patients in each group. Patients in the treated group were given sertraline combined with Chinese decoction, while the control group patients took only sertraline. Hamilton Depression Rating Scale (HAMD) was applied to evaluate the clinical efficacy. Results: The total effective rate in the treated group was 94.44%, while that in the control group was only 78.38%. No significant differences were detected in HAMD score before treatment, but reduction rate in the treated group was significantly higher than that in the control group two weeks, one month, and two months after the treatment. Conclusion: Western medicine treatment only had a certain effect on adolescents’ depression, but the integrative medicine had advantages of rapid onset, stable efficacy and long duration. The integrated therapy is more conducive to the character development and physical and mental health of young people.