“动-定序贯八法”联合运动治疗对糖尿病合并抑郁症的临床研究  

The clinical study of"Motion-Sequential Eight Method"combined with exercise therapy on diabetes with depression

作　　者：陈浏阳 Chen Liuyang

机构地区：[1]广东燕岭医院,广东广州510507

出　　处：《中医临床研究》2020年第36期63-65,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨“动-定序贯八法”联合运动治疗在治疗糖尿病合并抑郁症中的应用效果。方法:选取广东燕岭医院糖尿病合并抑郁症患者60例(2017年1月-2020年1月),依据随机数字表法分为对照组、观察组,各30例。常规进行治疗基础上,对照组采用盐酸舍曲林片,观察组采用“动-定序贯八法”联合运动治疗。比较两组治疗前、治疗3个月后空腹血糖(Glucose,GLU)、餐后2 h血糖(2-hour Postprandial Blood Glucose,2 hPG)、糖化血红蛋白(Glycated Hemoglobin,HbA1c)、胰岛素抵抗指数(Insulin Resistant Index,HOMA-IR)、汉密顿抑郁量表(Hamilton Depression Scale,HAMD)评分、抑郁自评量表(Self-rating Depression Scale,SDS)评分、糖尿病生活质量特异性量表(Diabetes Mellitus Quality of Life Specific Scale,DSQL)评分、不良反应发生率。结果:治疗3个月,观察组GLU、2 hPG、HbAlc、HOMA-IR、HAMD评分、SDS评分、DSQL评分低于对照组(P<0.05);观察组不良反应发生率3.45%(1/29)低于对照组27.59%(8/29)(P<0.05)。结论:“动-定序贯八法”联合运动治疗应用于糖尿病合并抑郁症患者中,可控制血糖,改善胰岛素抵抗,减轻抑郁,降低不良反应发生率,提高生活质量。Objective:To explore the application effect of"Motion-Sequential Eight Method"combined with exercise therapy in the treatment of diabetes combined with depression.Methods:A total of 60 patients with diabetes and depression in Guangdong Yanling Hospital(From January 2017 to January 2020)were selected and divided into the control group and the observation group by random number table method,with 30 cases in each group.On the basis of conventional treatment,Sertraline hydrochloride tablets were used in the control group,and"Motion-Sequential Eight Method"combined exercise therapy was used in the observation group.GLU,2 h postprandial blood glucose(2 hPG),glycosylated hemoglobin(HbAlc)level,insulin resistance index(HOMA IR)and Hamilton depression scale(HAMD)score,depression self-rating scale(SDS)score,specific scale(DSQL)score,diabetes quality of life,incidence of adverse reactions of the two groups before treatment,3 months after treatment were compared.Results:After 3 months of treatment,GLU,2 hPG,HbAlc,HOMAIR,HAMD,SDS and DSQL scores in the observation group were lower than those in the control group(P<0.05).The incidence of adverse reactions in the observation group was 3.45%(1/29),which was lower than that in the control group 27.59%(8/29)(P<0.05).Conclusion:The combined exercise therapy of"Motion-Sequential Eight Method"can control blood glucose,improve insulin resistance,reduce depression,reduce the incidence of adverse reactions,and improve the quality of life of diabetic patients with depression.

关 键 词：“动-定序贯八法” 运动疗法 左洛复 糖尿病 抑郁症 血糖水平 不良反应 

分 类 号：R587.1[医药卫生—内分泌]