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目的观察糖尿病伴抑郁障碍的患者采用心理治疗的临床效果。方法将62例糖尿病伴抑郁障碍的患者随机分为治疗(A)组和对照(B)组。于治疗4、12周时采用汉密尔顿抑郁量表(HAMD-17)进行心理测试,并检测FPG、2hPG及HbA_1c水平。结果治疗4周时,A组HAMD-17(10.07±0.23)分,B组(9.98±0.25)分,A组其他指标下降数值大于B组,但差异无统计学意义(P>0.05);治疗12周时,A组HAMD-17(16.22±0.43)分,B组(15.98±1.22)分,A组其他指标下降数值大于B组,差异有统计学意义(P<0.05)。两组不良反应发生率差异无统计学意义。结论心理治疗可有效改善抑郁症状,有利于控制血糖水平。
Objective To observe the clinical effect of psychological treatment in patients with diabetes mellitus and depression. Methods Sixty-two patients with diabetes mellitus and depression were randomly divided into treatment group (A) and control group (B). At 4 and 12 weeks of treatment, Hamilton Depression Rating Scale (HAMD-17) was used for psychological tests and FPG, 2hPG and HbA_1c levels were measured. Results After treatment for 4 weeks, the values of HAMD-17 (10.07 ± 0.23) and B (9.98 ± 0.25) points in group A were significantly lower than those in group B, but the difference was not statistically significant (P0.05) At 12 weeks, the values of HAMD-17 (16.22 ± 0.43) in group A and 15.98 ± 1.22 in group B were significantly lower than those in group B (P <0.05). There was no significant difference in the incidence of adverse reactions between the two groups. Conclusion Psychotherapy can effectively improve depression symptoms and help control blood sugar level.