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目的探讨中老年患者冠心病合并抑郁症的诊断及治疗办法。方法选择2009年2月～2011年11月我院收治的87例冠心病合并抑郁症中老年患者的临床资料进行回顾性分析。结果重度抑郁症患者23例、中度37例、轻度27例。主要的治疗办法是:在冠心病常规治疗的基础上加用氟西汀,结果大部分病患的失眠、焦虑、烦躁和抑郁等症状明显改善,同时降低了心血管疾病的发病率,83例患者经过对症治疗后出院;另外4例同时存在冠心病和重度抑郁症,治疗过程中突发心力衰竭或者恶性心律失常死亡。结论中老年患者冠心病合并抑郁症的发病率高,但是抑郁症状常为隐匿状态,需要及早诊断,对症治疗。
Objective To investigate the diagnosis and treatment of middle-aged and elderly patients with coronary heart disease complicated with depression. Methods The clinical data of 87 elderly patients with coronary heart disease complicated with depression admitted to our hospital from February 2009 to November 2011 were retrospectively analyzed. Results Severe depression in 23 patients, 37 cases of moderate, mild in 27 cases. The main treatment is: the routine treatment of coronary heart disease plus fluoxetine, the results of most patients with insomnia, anxiety, irritability and depression and other symptoms significantly improved, while reducing the incidence of cardiovascular disease, 83 patients The patient was discharged after symptomatic treatment; the other 4 patients had both coronary heart disease and major depressive disorder, and died of sudden heart failure or malignant arrhythmia during the treatment. Conclusion The incidence of CHD with depression is high in middle-aged and elderly patients. However, the symptoms of depression are often hidden and require early diagnosis and symptomatic treatment.