《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (04): 290-291.

• 临床研究 • 上一篇    下一篇

糖尿病患者抑郁症状研究

王学美; 刘庚信; 富宏   

  1. 北京大学第一医院 北京市 100034
  • 收稿日期:2004-09-06 出版日期:2005-04-25 发布日期:2005-04-25

Study of the depression in patients with type 2 diabetes

WANG Xue-mei, LIU Geng-xin, FU Hong   

  1. The First Hospital of Peking University, Beijing 100034, China
  • Received:2004-09-06 Published:2005-04-25 Online:2005-04-25

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摘要： 目的探讨2型糖尿病患者伴有的抑郁障碍。方法采用北京大学PES心理应用系统中汉密顿抑郁量表(HRSD)对62例2型糖尿病患者(有并发症者32例,无并发症者30例)及20名健康人进行评定,并对HRSD的7类因子进行分析。结果糖尿病组的HRSD总分均高于正常对照组,且糖尿病有并发症组高于无并发症组(P<0.05)。糖尿病组的焦虑/躯体化、认知障碍因子分均高于正常对照组,且糖尿病有并发症组的迟缓、睡眠障碍因子分高于正常对照组(P<0.05),而无并发症组与正常对照组无显著性差异(P>0.05)。在日夜变化、体重、绝望感方面,糖尿病组与正常对照组无显著性差异(P>0.05)。结论糖尿病患者伴有抑郁障碍,且有并发症患者明显重于无并发症患者。

关键词: 2型糖尿病, 并发症, 抑郁

Abstract: ObjectiveTo investigate and evaluate the depression in patients with type 2 diabetes.Methods62 patients with type 2 diabetes (30 having complications, 32 not having complications) and 20 normal controls were assessed by Hamilton Depression Rating Scale (HRSD) of Peking University PES Mental State Application System.ResultsThe HRSD total scores of diabetics were higher than that of normal controls, and scores of diabetics with complications were higher than that without complications (P<0.05). The scores of anxiety/somatization and cognitive disturbance of diabetics were all higher than that of normal control (P<0.05).The scores of sluggish, dyssomnia of diabetics with complications were higher than that of normal controls (P<0.05), but there was no difference between diabetics without complications and normal controls (P>0.05). The scores of changing at day and night, weight, and the despair feel of diabetics were not obviously different with that of normal controls (P>0.05).ConclusionThe diabetics are often companioned with depression, and more severe when having complications.

Key words: type 2 diabeteses, complication, depression