综合治疗对糖尿病伴负性情绪障碍患者的疗效及生活质量的影响  

Effect of Integrated Therapy on Diabetic Patients with Negative Emotion Disorder and Quality of Life

作　　者：舒人九 吴平[1] 张静[1] 杨华[1] 

机构地区：[1]湖南怀化市第四人民医院,湖南怀化418000

出　　处：《医学临床研究》2007年第2期241-243,共3页Journal of Clinical Research

摘　　要：【目的】探讨综合治疗对糖尿病伴负性情绪障碍患者的疗效及生活质量的影响。【方法】将96例糖尿病伴负性情绪障碍患者随机分为3组即药物组、干预组及综合组。分别给予降糖治疗、降糖治疗加心理干预、降糖治疗合并抗抑郁抗焦虑治疗加心理干预,疗程4周。分别于治疗前、治疗后2、4周进行抑郁自评量表(SDS)、焦虑自评量表(SAS)以及生活质量综合评定问卷(GQOIL)评定,并测空腹血糖(FBG)和餐后2 h血糖(2PBG)。【结果】治疗后SDS和SAS评分综合组和干预组均显著低于药物组,但综合组情绪改善更快;FBG和2PBG下降以综合组和干预组均好于药物组,综合组与干预组间无显著性差异;GQOIL评定综合组和干预组均明显好于药物组,但综合组生活质量改善更快。【结论】综合治疗对糖尿病伴负性情绪障碍患者的疗效好,能迅速缓解负性情绪,更好的控制血糖,并提高患者的生活质量。[Objective]To investigate the efficacy and quality of life of integrated therapy in treating the diabetic patients with negative emotion disorder. [Methods]Ninety six diabetic patients with negative emotion disorder were randomly divided into three groups. The drug group was only treated with the drug to decrease blood glucose. The intervention group was treated with psychological intervention and drug to decrease blood glucose. The integrated group was treated with antidepressant drug, antianxiety, psychological intervention and drug to decrease blood glucose. All the patients were evaluated with self-rating depression scale（SDS）and self-rating anxiety scale（SAS）and GQOIL, tested fasting blood glucose（FBG） and 2-hour post-meal blood glucose（2PBG） before treatment and at the end of 2nd , 4th week after treatment. [Results]The scores of SDS and SAS in intervention group and integrated group were significantly lower than those in drug group after treated for 4 weeks ,but the negative emotion improved earlier in integrated group than in other two groups. The reduction value of FBG and 2PBG was higher in intervention group and integrated group than in drug groups. There was no significant difference in the reduction value of FBG between intervention group and integrated group. The evaluation of GQOIL was better in intervention group and integrated group than that in drug group, but the quality of life improved more quickly in integrated group than in other two groups. [Conclusion] The integrated therapy obtains a better effect on treating the diabetic patients with negative emotion disorder. It is more effective on alleviating negative emotion, preferably controlling blood glucose in diabetic patients and raising their quality of life.

关 键 词：糖尿病/并发症 糖尿病/治疗 情绪障碍/治疗 生活质量 

分 类 号：R587.1[医药卫生—内分泌]