摘要
Abstract
Objective:To investigate the drug and Psychotherapy of elderly patients with chronic obstructive pulmonary disease(COPD) complicated with depression and anxiety.Methods:A total of 110 elderly patients with chronic obstructive pulmonary disease complicated with depression and anxiety from March 2014 to March 2016 were selected as the research object,and they were divided using a random number table method into the observation group(n =55)and control group(n =55).The control group was given conventional treatment and nursing,while the observation group wwas treated with drug and psychotherapy on the basis of treatment of the control group,the course of treatment was 6 months.Two groups were compared before and after treatment in PaCO2,PaO2,6 minutes walking distance (6-minute walk,distance,6 MWD),SDS(Self-Rating Depression Scale,self rating Depression Scale (SAS),Self-Rating Anxiety Scale,self rating Anxiety Scale)score.Results:Before treatment,the PaCO2 of the observation group was (70.2 ± 8.9) mmHg,and the control group (69.5 ± 8.4) mmHg,the difference was not statistically significant (P ＞ 0.05);After treatment,the observation group PaCO2 (33.5 ± 4.7) mmHg,was significantly lower than that in the control group(46.5±9.1)mmHg,(t =-9.413,P＜0.05);Before treatment,the PaO2 and 6MWD of the observation group were (50.1±2.3)mmHg,(241.4±11.2)m,and the control group was (50.6±2.7)mmHg,(243.5± 10.8) m,the difference was not statistically significant(t =-1.045,-1.001);after treatment,the observation group PaO2 (80.6± 7.6 mmHg),6MWD(325.4±12.3 mmHg)were significantly higher than that in the control group(68.3 ±9.2 mmHg),(297.3±16.8 mmHg)(t=7.644,10.008;P＜0.05);Before treatment,the SDS score and SAS score of the observation group were(59.3±3.9),(55.2±3.6),and the control group was (58.9±4.3),(56.2±4.8),the difference was not statistically significant (P ＞ 0.05);After treatment,SDS scores,SAS scores were significantly lower than the control group(t =-40.881,-32.656;P＜0.05).Conclusion:Seretide with psychological intervention can significantly improve the respiratory function of patients,alleviate the patients with depression and anxiety,which is the ideal choice for elderly patients with chronic obstructive pulmonary disease complicated with depression and anxiety.关键词
老年慢性阻塞性肺病/抑郁焦虑/药物/心理治疗Key words
Chronic obstructive pulmonary disease/Depression and anxiety/Drugs/Psychotherapy分类
医药卫生
