论文部分内容阅读
目的观察胰岛素联合心理治疗对初诊2型糖尿病伴抑郁症状患者的疗效。方法将120例初诊的2型糖尿病合并抑郁症状患者随机分为两组,分别采用胰岛素联合心理治疗与单纯胰岛素治疗14天,观察患者空腹血糖、血糖波动、胰岛素用量以及低血糖发生率,并采用HAM D抑郁量表、HAMA焦虑量表和Zung抑郁自评量表评定抑郁症状的改善。结果胰岛素联合心理治疗比较单纯胰岛素治疗患者的日内血糖波动小(P<0.01)、胰岛素用量少(P<0.01)、低血糖发生率低(P<0.05),并能显著缓解患者的焦虑抑郁症状(HAM D测评:P<0.01,HAMA测评:P<0.05,Zung自评:P<0.05)。结论糖尿病的早期治疗不仅胰岛素应用越早越好,且心理支持越早越好,胰岛素与心理支持的有机结合应成为糖尿病治疗的基本原则。
Objective To observe the effect of insulin combined with psychological therapy on newly diagnosed type 2 diabetic patients with depressive symptoms. Methods 120 cases of newly diagnosed type 2 diabetes mellitus with depressive symptoms were randomly divided into two groups. The patients were treated with insulin combined with psychological therapy and insulin for 14 days respectively. The fasting blood glucose, blood glucose, insulin dosage and the incidence of hypoglycemia were observed. HAM D Depression Inventory, HAMA Anxiety Scale and Zung Depression Scale to assess the improvement of depressive symptoms. Results Insulin combined with psychotherapy compared with simple insulin treatment in patients with small fluctuations in blood glucose (P <0.01), less insulin (P <0.01), low incidence of hypoglycemia (P <0.05), and significantly relieve anxiety depression Symptoms (HAM D test: P <0.01, HAMA test: P <0.05, Zung self-assessment: P <0.05). Conclusion Early treatment of diabetes is not only the application of insulin sooner and better, and the psychological support as soon as possible, the combination of insulin and psychological support should be the basic principles of diabetes treatment.