Bhatia S C, Bhatia S K
Creighton University School of Medicine, Omaha, Nebraska, USA.
Am Fam Physician. 1997 Apr;55(5):1683-98.
Diagnosis and management of major depression, a condition that is frequently encountered by primary care physicians, must take into account such factors as the patient's age, comorbid conditions and specific presenting symptoms. Rational selection of antidepressant medication must also include analysis of potential side effects and drug-drug or drug-food interactions. Psychiatric consultation may benefit a select group of patients. Although some patients may require life-long antidepressant medication, most will be able to discontinue their medication after a period of time. Newer antidepressants are expanding the treatment options available to family physicians.
重度抑郁症的诊断与管理是基层医疗医生经常遇到的情况，必须考虑患者年龄、共病情况及特定的症状表现等因素。合理选择抗抑郁药物还必须包括对潜在副作用以及药物相互作用或药物与食物相互作用的分析。精神科会诊可能会使一部分特定患者受益。虽然有些患者可能需要终身服用抗抑郁药物，但大多数患者在一段时间后能够停药。新型抗抑郁药物正在增加家庭医生可采用的治疗选择。
