回忆疗法联合帕罗西汀药物治疗在老年抑郁患者中的应用价值及对患者生活质量的影响

The application value of recall therapy combined with paroxetine treatment in elderly patients with depression and the influence on the quality of life of patients

目的研究回忆疗法联合帕罗西汀药物治疗在老年抑郁患者中的应用价值及对其生活质量的影响。方法选择2015年1月~2016年12月在我院接受治疗的老年抑郁症患者150例,根据随机数表法将其分为对照组和实验组,每组各75例。对照组患者给予帕罗西汀治疗,20mg口服,每日1次;实验组患者在对照组的基础上联合应用回忆疗法。结果实验组患者的疗效好于对照组(P<0.05)。实验组患者治疗2周、治疗4周及治疗8周后的HAMD评分均低于对照组(P<0.05)。实验组患者的SF-36各维度评分均高于对照组,生活质量更好(P<0.05)。结论回忆疗法联合帕罗西汀药物治疗可以明显提高老年抑郁症患者的疗效,降低HAMD评分,改善生活质量,值得在临床推广应用。

Objective To study the application value of recall therapy combined with paroxetine in the treatment of senile depression patients and its impact on quality of life. Methods 150 elderly patients with depression who treated in our hospital were selected from January 2015 to December 2016 and divided into control group and experimental group using a random number table method, each group had 75 cases, the control group were treated with paroxetine, 20mg orally, 1 times a day; the experimental group were treated with application of reminiscence therapy on the basis of the control group. Results The curative effect of the experimental group was better than that of the control group （P 〈 0.05 ） . After the treatment for 2 weeks, the treatment for 4 weeks and the treatment for 8 weeks, the HAMD score of the patients in experimental group was lower than that in the control group （ P〈 0.05 ） . The scores of SF-36 in the experimental group were higher than those in the control group （P 〈 0.05 ） . Conclusion Reminiscence therapy combined with paroxetine treatment can significantly improve the curative effect of elderly patients with depression, improve the quality of life, worthy of clinical application.