老年抑郁症临床特征及用药分析

Analysis of the Clinical Manifestation and Medication Plan of Elderly Depression Patients

摘要: 目的：探讨老年抑郁症患者临床特征及用药情况。方法：采用回顾性分析方法，收集2019~2020年在青岛市精神卫生中心住院治疗的老年抑郁症患者临床特征及用药方案并进行分析。结果：多数老年抑郁症患者(456例，53.08%)发病存在诱因。其中，负性生活事件最多见(215例，25.03%)，其次为生气(77例，8.96%)，劳累、生病也占一定比例。135例(15.72%)老年抑郁患者出现幻觉、妄想等明显的精神病性症状，797例患者(92.78%)出现了明显的躯体化症状。目前单一抗抑郁药治疗较少，91.04%的患者用药方案均为抗抑郁药合并其他精神科药物。结论：老年抑郁症患者发病诱因以负性生活事件为主，出现精神病性症状的患者较少，但绝大多数出现躯体化症状，目前多采用联合用药方案。

Abstract: Objective: To explore the clinical manifestations and medication plan of geriatric depression. Methods: The retrospective analysis method is adopted to collect the clinical manifestations and medication solutions for elderly depression patients who are hospitalized at the Qingdao Mental Health Center from 2019~2020, and analyze the cause, clinical manifestations and medication so-lutions. Results: Most elderly patients with depression (456 cases, 53.08%) were induced. Among them, negative sexual life events are most common (215 cases, 25.03%), followed by anger (77 cases, 8.96%), and fatigue and illness account for a certain proportion. 135 cases (15.72%) patients with old age have obvious mental symptoms such as hallucinations and delusions, and 797 patients (92.78%) had obvious physical symptoms. At present, a single antidepressant is less treatment, and 91.04% of patients had antidepressants and other psychiatric drugs. Conclusion: The incentives of elderly depression are mainly negative life events. There are fewer patients with mental illness symptoms, but most of them have physical symptoms. At present, they often use joint medication schemes.