以疼痛障碍为主诉的抑郁症临床诊治分析

Clinical diagnosis and treatment of depression with pain disorders as chief complaint

目的：探讨以疼痛障碍为主诉的抑郁症临床诊治。方法随机抽取本院在2011年10月-2012年10月期间收治的56例以疼痛障碍为主诉的抑郁症患者的临床资料进行回顾性分析，根据治疗方法的不同，将本组患者分为对照组和观察组，每组28例，对照组采取对症治疗，观察组采取抗抑郁症治疗，然后针对两组患者临床治疗效果进行评价分析。结果对照组患者治疗有效率为71.4%，观察组治疗有效率达96.4%，其治疗效果明显高于对照组，差异具有统计学意义（P〈0.05）；治疗后，两组患者治疗效果与治疗前相比，均有所改善，且观察组头痛、睡眠障碍、生物原性抑郁症、抑郁症状治疗效果均明显高于对照组，差异具有统计学意义（P〈0.05）。结论以疼痛障碍为主诉的抑郁症患者较多，治疗时，应该注意观察患者是否属于抑郁症，控制误诊、漏诊。

Objective To study the clinical diagnosis and treatment of depression with pain disorders as chief complaint. Methods Randomly selected hospital in October 2011 to October 2012 admitted during the period of 56 patients with pain disorders as the chief complaint of depression in patients with clinical data were retrospectively analyzed, according to the different method of treatment, the patients can be divided into control group and observation group, 28 cases in each group, control group take symptomatic treatment, observation group take antidepressant treatment, then makes an analysis of the clinical therapeutic effect of two groups of patients. Results The control group, the treatment effective rate was 71.4% in patients with efficient observation treatment group was 96.4%, the treatment effect is significantly higher than the control group, significant difference, statistically significant, P〈0.05; after treatment, two groups of patients compared with before treatment, the treatment effect are improved, and the observation group have a headache, sleep disorder, biological effect of depression, depression treatment were significantly higher than that of control group, significant difference, statistically significant, P〈0.05）. Conclusion Most patients are depression with pain disorders as chief complaint, we should pay attention to whether patients belong to the depression, control the misdiagnosis and missed diagnosis.