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目的探讨2型糖尿病合并高血压患者抑郁状况及影响因素。方法选择2010年3月-2011年9月于我院内科门诊就诊或住院的糖尿病合并高血压患者186例,采用汉密尔顿抑郁量表(HRSD)评定患者抑郁程度,同时采用Logistic分析可能影响抑郁的因素。结果所有研究对象中,有抑郁症状者119例(63.98%),无抑郁症状者67例(36.02%)。女性(OR=2.29,95%CI 1.28～7.63,P<0.05)、有并发症(OR=1.64,95%CI 1.12～3.59,P<0.05)、病程(OR=1.23,95%CI1.04～4.27,P<0.05)是糖尿病合并高血压患者发生抑郁的危险因素。结论 63.98%的2型糖尿病合并高血压患者有抑郁症状,女性、有并发症、病程较长是2型糖尿病合并高血压患者发生抑郁的危险因素。
Objective To investigate the depression and its influencing factors in patients with type 2 diabetes mellitus complicated with hypertension. Methods From March 2010 to September 2011, 186 patients with diabetes mellitus and hypertension in our outpatient clinic or hospital were evaluated with the Hamilton Depression Rating Scale (HRSD) to evaluate the degree of depression in the patients. At the same time, Logistic analysis was used to analyze the factors that may affect depression . Results Among all the subjects, there were 119 cases (63.98%) with depressive symptoms and 67 cases (36.02%) without depressive symptoms. (OR = 1.64, 95% CI 1.12-3.59, P <0.05), duration of disease (OR = 1.23, 95% CI 1.04 ~ 4.27, P <0.05) is a risk factor for depression in diabetic patients with hypertension. Conclusions 63.98% of patients with type 2 diabetes mellitus with hypertension have depressive symptoms, women, complications and longer duration are risk factors of depression in type 2 diabetic patients with hypertension.