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目的:探讨糖尿病患者并发抑郁症的各项危险因素。方法:对78例2型糖尿病患者采用汉密尔顿抑郁量表(HAMD-24)进行评定,将之分为抑郁症组和非抑郁症组,对两组患者的一般情况(年龄、文化、性别、有无家族史等)、FPG、2hPG、HbA1c、BMI、糖尿病并发症(视网膜病变、周围神经病变、肾病)数量及糖尿病治疗花费等进行比较。结果:两组相比,女性患者数量、BMI指标、并发症数量、FPG、2hPG、HbA1c、糖尿病治疗总费用等抑郁症组高于非抑郁症组(P<0.05),而年龄、文化程度和家族史则无统计学差异(P>0.05)。结论:2型糖尿病患者中,女性、肥胖、血糖控制差、并发症数量多及治疗花费高的患者更容易患抑郁症。
Objective: To investigate the risk factors of depression in patients with diabetes mellitus. Methods: A total of 78 patients with type 2 diabetes were evaluated by Hamilton Depression Rating Scale (HAMD-24), which was divided into depression group and non-depression group. The general conditions (age, culture, sex, No family history, etc.), FPG, 2hPG, HbA1c, BMI, diabetic complications (retinopathy, peripheral neuropathy, nephropathy) and diabetes treatment costs were compared. Results: Compared with non-depression group, the number of female patients, BMI index, the number of complications, FPG, 2hPG, HbA1c, total cost of diabetes treatment were significantly lower than those in non-depression group Family history was no significant difference (P> 0.05). Conclusions: Patients with type 2 diabetes are more likely to have depression than women with obesity, poor glycemic control, high numbers of complications, and high cost of treatment.