论因病致郁对病势和病情转归影响的重要性

Attaching more importance to the influence of depression syndrome due to illness on the trend of disease and prognosis

无论是哪个系统的疾病,只要是重病、久病、怪病,被判定为所谓的癌前病变以及尚缺乏有效医疗干预手段的疾病,大多数患者具有不同程度的郁证表现。在临床实践中,医者注重的是解决患者躯体的病变,而忽视因病致郁对病势和病情转归的直接影响。因病致郁能加重原发疾病,延长治疗周期,降低患者治疗的依从性,从而导致医者对原发疾病的干预更加困难化。因病致郁对原发疾病的病势和病情转归产生影响时,应兼顾治疗郁证或转向以治疗郁证为主,这有助于治疗原发疾病和提高临床疗效。

Patients with serious illness,prolonged disease,mysterious disease,convicted of so-called precancerous lesion,and the diseases lacking the effective medical intervention methods,no matter in which system,appear to have the depression syndrome in different degree.But,in clinical practice,the doctors pay more attention to solving the somatic lesions rather than the direct influence of depression syndrome due to illness on the trend of disease and prognosis.Depression syndrome due to illness can exacerbate original diseases,prolong the treatment cycle and reduce the compliance of the patients,with the result that the treatment of original diseases is posed to became more difficult.When depression syndrome due to illness impacts on the trend of disease and prognosis,we should take the treatment of depression syndrome into consideration or give priority to it,which is helpful to cure original diseases and improve the clinical curative efficacy.