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胰岛素联合心理治疗对初诊2型糖尿病伴抑郁症状患者疗效观察
引用本文:王少真,史亚男,徐延光,张金钟.胰岛素联合心理治疗对初诊2型糖尿病伴抑郁症状患者疗效观察[J].中国健康心理学杂志,2009,17(4):471-473.
作者姓名:王少真  史亚男  徐延光  张金钟
作者单位:1. 中国.卫生部及天津市激素与发育重点实验室,天津医科大学代谢病医院,300070
2. 天津医科大学
3. 天津中医药大学
摘    要:目的观察胰岛素联合心理治疗对初诊2型糖尿病伴抑郁症状患者的疗效。方法将120例初诊的2型糖尿病合并抑郁症状患者随机分为两组,分别采用胰岛素联合心理治疗与单纯胰岛素治疗14天,观察患者空腹血糖、血糖波动、胰岛素用量以及低血糖发生率,并采用HAM D抑郁量表、HAMA焦虑量表和Zung抑郁自评量表评定抑郁症状的改善。结果胰岛素联合心理治疗比较单纯胰岛素治疗患者的日内血糖波动小(P〈0.01)、胰岛素用量少(P〈0.01)、低血糖发生率低(P〈0.05),并能显著缓解患者的焦虑抑郁症状(HAM D测评:P〈0.01,HAMA测评:P〈0.05,Zung自评:P〈0.05)。结论糖尿病的早期治疗不仅胰岛素应用越早越好,且心理支持越早越好,胰岛素与心理支持的有机结合应成为糖尿病治疗的基本原则。

关 键 词:胰岛素联合心理治疗  2型糖尿病  血糖  抑郁症状

The Effect of Mental Intervention Combined with Insulin Injection on Newly-diagnosed Type 2 Diabetic Patients with Depression Symptoms
Wang Shaozhen,Shi Yanan,Xu Yanguang,et al..The Effect of Mental Intervention Combined with Insulin Injection on Newly-diagnosed Type 2 Diabetic Patients with Depression Symptoms[J].china journal of health psychology,2009,17(4):471-473.
Authors:Wang Shaozhen  Shi Yanan  Xu Yanguang  
Affiliation:Wang Shaozhen,Shi Yanan,Xu Yanguang,et al.Gastroenterology Department,Metabolic Disease Hospital,Tianjin Medical Univewrsity,Tianjin 300070,P.R.China
Abstract:Objective To observe the effect of mental intervention combined with insulin injection on newly-diagnosed type 2 diabetic patients with depression symptoms.Methods 120 newly-diagnosed diabetic patients with depression symptoms were recruited and randomly divided into two groups.Then they were treated by mental intervention combined with insulin injection and insulin injection alone respectively.After 14 days,all patients were observed the fasting glucose,blood glucose fluctuation,doses of insulin injection ...
Keywords:Mental intervention combined with insulin injection  Type 2 diabetes  Glucose  Depression symptoms  
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