中西医联合治疗青少年抑郁症疗效观察

目的：探求中西医联合治疗青少年抑郁症的疗效是否优于单独运用西医治疗。方法：将78例青少年抑郁症患者随机分为观察组和对照组，两组各39例，观察组服用舍曲林加中药汤剂，而对照组只应用舍曲林。采用汉密尔顿抑郁量表（HAMD）评定临床疗效。结果：观察组治疗有效率为94．44％，对照组有效率为78．38％。两组治疗前HAMD得分无显著差异，但治疗后2周、1个月、2个月后观察组减分率显著高于对照组。结论：单用西药治疗青少年抑郁症有一定疗效，但中西医联合治疗具有起效快、疗效稳定和持续时间长的优势。更利于青少年的人格发展和身心健康。

Effect observation on treating adolescent depressive disorder in the integrative medicine

Objective： To compare the efficacies between the integrative medicine and modern medicine alone on adolescent depression disorder, to optimize the treatment of adolescent depression. Methods： 78 depressed adolescent patients were randomly divided into the treated group and the control group, 39 patients in each group. Patients in the treated group were given sertraline combined with Chinese decoction, while the control group patients took only sertraline. Hamilton Depression Rating Scale （HAMD） was applied to evaluate the clinical efficacy. Results： The total effective rate in the treated group was 94.44%, while that in the control group was only 78.38%. No significant differences were detected in HAMD score before treatment, but reduction rate in the treated group was significantly higher than that in the control group two weeks, one month, and two months after the treatment. Conclusion： Western medicine treatment only had a certain effect on adolescents＇ depression, but the integrative medicine had advantages of rapid onset, stable efficacy and long duration. The integrated therapy is more conducive to the character development and physical and mental health of young people.