住院老年抑郁症临床治疗回顾性分析

STUDY ON INPATIENT TREATMENT OF ELDERLY DEPRESSION

目的 :了解老年抑郁症患者住院治疗情况。方法 :对 1999年 1月至 2 0 0 1年 9月间收治的符合CCMD -2 -R抑郁症诊断标准 ,年龄≥ 60岁的老年抑郁症患者 13 1例临床治疗情况进行回顾性分析。结果 :SSRI使用比率最高 ,副反应最轻 ,发生率显著低于TCA和四环类抗抑郁药。无抽搐电休克 (MECT)对伴有消极行为的老年抑郁者治疗效果较好。结论 :对老年抑郁症患者的住院治疗应首选SSRIs药物 ,对伴有威胁生命的自杀行为者应首先考虑使用MECT。

Objective:To investigate the therapeutic effect of depression in elderly inpatients.Method:Clinical data for 131 depression patients aged above 60 and hospitalized from January of 1999 to September of 2001 was reviewed. Their diagnosis met CCMD-2-R standard for depression diagnosis.Results:Medication of SSRI was the commonest therapy and had less side effects than that of TCA and tetracycline. MECT therapy received satisfied results for depression patients with negative behavior.Conclusion:.SSRIs are suggested to be the first medication used for elderly inpatients with depression. MECT is the first consideration for patients with suicide behavior.