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目的探讨药物治疗联合心理行为疗法治疗儿童及青少年抑郁症的疗效。方法将74例儿童及青少年抑郁症患者分为两组,单纯药物组患者给予口服抗抑郁药物盐酸氟西汀,联合试验组患者在接受药物治疗的同时给予心理行为治疗,于治疗前和治疗后第2周采用24项汉密顿抑郁量表评估抑郁程度。结果两组患者汉密顿抑郁量表评分随着治疗时间的增加逐渐下降,与治疗前比较,差异有统计学意义(P<0.05),治疗第2周联合试验组患者汉密顿抑郁量表评分明显低于单纯药物组(P<0.05),两组患者均未发生严重不良反应。结论药物治疗联合心理行为疗法治疗儿童及青少年抑郁症患者有较好的疗效,可以明显减轻患者的抑郁情绪。
Objective To investigate the curative effect of drug therapy combined with psychological behavior therapy on depression in children and adolescents. Methods 74 cases of depression in children and adolescents were divided into two groups. The patients in the simple drug group were given oral antidepressant fluoxetine hydrochloride. The patients in the combined experimental group were given psychological treatment while receiving the drug treatment. Before and after treatment, In the second week, 24 Hamilton Depression Rating Scale was used to assess the degree of depression. Results The Hamilton Depression Scale scores decreased gradually with the increase of treatment time in both groups, with statistical significance (P <0.05). The Hamilton Depression Inventory The score was significantly lower than the simple drug group (P <0.05), no serious adverse reactions in both groups. Conclusion Drug therapy combined with psychological behavior therapy in children and adolescents with depression has a good effect, can significantly reduce depression in patients.