糖尿病患者的焦虑情绪及其对糖代谢控制的影响  

Anxiety and its effect on glucose metabolism in patients with diabetes mellitus

作　　者：朱熊兆[1] 陈晓岗[1] 姚树桥[1] 程艳春[1] 吴萍陵[1] 

机构地区：[1]中南大学湘雅二医院,湖南长沙410011

出　　处：《中国行为医学科学》2002年第3期263-264,共2页Chinese Journal of Behavioral Medical Science

摘　　要：目的　了解糖尿病患者的焦虑状况 ,了解焦虑情绪对糖尿病患者糖代谢的影响。方法　病例组 (186例 ) ,对照组(10 0例 )均进行状态 特质焦虑评定 ,且病例组于住院第二天抽取静脉血测定空腹血糖、餐后两小时血糖以及糖化血红蛋白水平。结果　病例组与对照组比较结果显示两组在状态焦虑水平上无显著性差异 ,病例组的特质焦虑水平明显高于对照组 ;病例组组内分析结果表明患者的状态焦虑水平与性别、职业显著相关 ,特质焦虑与糖化血红蛋白水平及职业显著相关 ;高特质焦虑患者的糖化血红蛋白水平明显高于低特质焦虑水平患者的糖化血红蛋白水平。结论　本研究结果提示糖尿病患者的特质焦虑水平高于一般人群的特质焦虑水平 ;特质焦虑水平的高低可能在糖尿病患者的糖代谢控制中起着较为重要的作用。Objective To investigate the level of anxiety in patients with diabetes mellitus, and to explore the effect of anxiety on glucose metabolism. Methods 186 patients with diabetes mellitus were collected (experiment group) and control group included 100 normal persons. Both two groups were administered status trait scale, in addition, Serum fasting blood glucose (FBS), post prandial two hours blood glucose level (2PBS) and glycosylated hemoglobin (HbA1c) were evaluated at pretreatment. Results The level of trait anxiety was higher in experiment group than in control group. Degree of the status anxiety was correlative with sex and occupation and degree of the trait anxiety was correlative with( level of HbA1c and occupation. Conclusion This study suggest that the level of trait were higher in patients with diabetes mellitus than people without any diseases. The trait may be effect on glucose metabolism in patients with diabetes mellitus.

关 键 词：糖尿病 焦虑 糖代谢 

分 类 号：R395.1[哲学宗教—心理学]