·糖尿病与神经疾病·

　　【摘要】 目的 观察糖尿病伴抑郁障碍的患者采用心理治疗的临床效果。 方法 将62例糖尿病伴抑郁障碍的患者随机分为对照(A)组和治疗(B)组。于治疗4周、12周时采用汉密尔顿抑郁量表(HAMD-17)进行心理测试，并检测FPG、2 hPG及HbA1c。 结果 治疗4周时，A组(10.07±0.23)分，B组(9.98±0.25)分，治疗组其它各指标下降数值也大于B组，差异无统计学意义(P>0.05);治疗12周时，A组(16.22±0.43)分，B组(15.98±1.22)分，治疗组其它指标下降数值大于B组，差异有统计学意义(P<0.05)。两组不良反应发生率差异无统计学意义。 结论 心理治疗可有效改善抑郁症状，有利于控制血糖水平。

　　【关键词】 糖尿病;抑郁;心理治疗

Observation on the effect of psychotherapy on the diabetic patients accompanied with depression ZHANG Yun-ming, ZUO Cai-feng, CHAI Lin-qiang. Department of Endocrinology, Weihai Municipal Hospital, Weihai 264200, China

　　【Abstract】 Objective To observe the clinical therapeutic effect of psychotherapy on diabetic patients accompanied with depression. Methods Sixty-two diabetic patients accompanied with depression were randomized into two groups: the control (B)group was given the basic treatment, and the treatment (A)group was given both the basic treatment and psychotherapy. All the patients were tested by HAMD-17, and the FPG, 2 hPG, and HbA1c in the 4th week and the 12th week after the treatment were determined for evaluation. Results In the 4th week after the treatment, the A group was better than the B group in the score of HAMD-17 [(10.07±0.23) vs (9.98±0.25)]. The decrease of other indices in the treatment group was also more significant than that in the B group, while there was no statistical significance between the two groups (P>0.05). In the 12th week after the treatment, the score of HAMD-17 of the A group was (16.22±0.43) and that of the B group was (15.98±1.22). The incidence of untoward effect was not statistically different between the two groups. Conclusion The psychotherapy can improve the symptoms of depression, benefiting the control of blood glucose.

　　【Key words】 Diabetes Mellitus; Depression; Psychotherapy