心理干预治疗产后抑郁症的临床观察

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1、心理干预治疗产后抑郁症的临床观察【摘要】目的：比较药物治疗与心理干预两种方法治疗产后抑郁症的疗效。方法：回顾性分析木科125例产后抑郁症患者的临床资料，其中药物治疗组67例，心理干预组58例，药物治疗组口服抗抑郁药舍曲林50mg,1次/d。心理干预组由其责任医师对产妇进行心理评估，制定个体化的心理干预措施，使产妇保持良好的心态。比较两组患者在6个月内、6〜12个月、大于12个月痊愈的人数、治愈率及两组的疗效。结果：两种治疗方法均有效，但心理干预组的治疗疗效明显优于药物治疗组，比较差异有统计学意义(字2=23.62,P<0.01)o结论：心理干

2、预能较快地治疗产后抑郁症，使产妇的心理状态更佳，抑郁症危险降低的幅度更大，而且缩短了抗抑郁药物的剂量和疗程，相应的减轻了药物的副作用。【关键词】产后抑郁症；抗抑郁药；心理干预；疗效ClinicalObservationofPsychologicalInterventionintheTreatmentofPostpartumDepression/SIIIAi-ping.//MedicalInnovationofChina,2014,11(01)：037-038【Abstract]Objective：Tocomparethecurativeeff

3、ectofdrugtreatmentandpsychologicalinterventionmethodsinthetreatmentofpostpartumdepression.Method：Theclinicaldataof125patientswithpostpartumdepress!oninourdepartmentwereanalyzedretrospectively,theywererandomlydividedintothedrugtherapygroupfor67casesandthepsychologicalinterve

4、ntiongroupfor58cases.ThedrugtherapygroupwasgivenoraladministrotionAntidepressantSertraline50mgonceaday.Thepsychologicalinterventionwasgivenapsychologicalevaluationbytheresponsiblephysician,theresponsiblephysicianmadepsychologicalinterventionofindividualtokeepmaternitypatien

5、tshadagoodattitude.Thenumberofcureandthecurerateoftwogroupsofpatientsat6months,6-12monthsandmorethan12monthswerecompared,andtheefficacyofthetwogroupswascompared.Result：Twokindsoftreatmentmethodswereeffective,buttheefficacyofpsychologicalinterventiongroupwasbetterthanthedrug

6、group,thediffereneewasstatisticallysignificant(字2=23.62,P〈0・01).Conclusion:Psychologicalinterventioncantreatthepostpartumdepressionfastsothatthematernitypatienthaveabettermentalstate.What'smore,psychologicalinterventioncanforceayetbiggerdeclineabouttheriskofpostpartumdepres

7、sionandreducethedoseanddurationofantidepressantdrugs,correspondingtoalleviatethesideeffectsofdrugs・【Keywords】Postpartumpsychosis；Antidepressant；Psychologicalintervention；CurativeeffectFirst-author"saddress：XiaolongshanHospital,Tianshui741020,Chinadoi：10.3969/j.issn.1674-498

8、5.2014.01.018分娩和哺乳是人类正常的生理现象，对于产妇是一个应激因素，由于社会角色的完全改变，对她们的认知和行为冇很大的影响，容易超越正常界限造成病理性