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目的探讨贝克认知行为疗法在2型糖尿病中的治疗效果。方法对61例2型糖尿病人随机分为2组。综合治疗组32例采用贝克认知行为治疗配合常规药物治疗;对照组29例单纯用药物治疗。分别在入组前、后8周及6个月后进行贝克抑郁量表(BDI)、贝克焦虑量表(BAI)和症状自评量表(SCL-90)测评,并监测血糖变化。结果综合治疗组疗效优于对照组,且起效快;追踪6个月观察显示综合治疗组并发症1例,对照组2例。结论贝克认知行为疗法有作为2型糖尿病辅助治疗的临床价值。
Objective To investigate the therapeutic effect of Baker cognitive-behavioral therapy in type 2 diabetes mellitus. Methods 61 cases of type 2 diabetes were randomly divided into two groups. 32 cases of comprehensive treatment group using Baker cognitive behavioral therapy with conventional drug treatment; control group of 29 patients with simple drug treatment. The Baker Depression Inventory (BDI), BAI and SCL-90 were measured before and after 8 weeks and 6 months after admission respectively, and the changes of blood glucose were monitored. Results The curative effect of the comprehensive treatment group was better than that of the control group, and the curative effect was fast. The 6-month follow-up showed that the complications of the comprehensive treatment group were 1 case and the control group 2 cases. Conclusion Baker cognitive behavioral therapy has the clinical value of adjuvant therapy for type 2 diabetes.