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目的:探讨治疗老年冠心病合并抑郁症患者的有效方法以及临床特征。方法:对我院2010年1月～2011年12月所收治的老年冠心病合并抑郁症患者64例,随机分为2组,对照组与治疗组,每组32人。对照组患者给予常规治疗以及心理疏导,治疗组患者在对照组的基础上服用抗抑郁药舍曲林,每日一次,每次50mg,连续服用2个月。结果:两组患者冠心病症状均得到控制,抑郁症状态得到缓解,但治疗组的治疗效果更佳,通过对患者的抑郁症进行对症治疗使冠心病梗死率、心律失常发生率降低。结论:在心理疏导的基础上使用药物治疗患者的抑郁症能够取得十分明显的效果。
Objective: To explore effective methods and clinical features in the treatment of elderly patients with coronary heart disease and depression. Methods: Sixty-four elderly patients with coronary heart disease and depression who were admitted to our hospital from January 2010 to December 2011 were randomly divided into two groups, control group and treatment group, with 32 in each group. Patients in the control group were given routine treatment and psychological counseling. Patients in the treatment group were given sertraline, an antidepressant drug, on a daily basis at 50 mg once daily for 2 months. Results: The symptoms of CHD were controlled in both groups, and the state of depression was relieved. However, the treatment effect was better in the treatment group. The incidence of coronary heart disease and arrhythmia was decreased by symptomatic treatment of depression. Conclusion: The use of medication to treat depression in patients based on psychological counseling can achieve a very significant effect.