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目的分析抑郁焦虑在2型糖尿病患者中的发病情况,以及两者之间相互影响的作用。方法采用抑郁自评量表(SDS)以及焦虑自评量表(SAS)对158例2型糖尿病患者(观察组)进行调查,评价抑郁焦虑的发病情况,记录患者的患病时间、糖化血红蛋白(HbA1c)、空腹血糖(FBG)、血糖达正常需要的时间、并发症的出现情况,以分析其对糖尿病治疗及预后的影响。结果2型糖尿病组焦虑患病率为15.20%,焦虑评分为39.5±5.4,抑郁患病率为32.28%,抑郁评分为36.1±6.8,均高于对照组。出现抑郁焦虑的2型糖尿病患者患病时间、HbA1c、FBG、血糖达到正常需要的时间、并发症的出现情况较不合并焦虑抑郁情况的患者均明显升高。结论2型糖尿病患者的心理状况较差,容易并发抑郁焦虑情绪,抑郁焦虑情绪会导致血糖控制差,并发症出现增多,两者之间相互影响。
Objective To analyze the incidence of depression and anxiety in patients with type 2 diabetes mellitus and their interaction. Methods Fifty-eight patients with type 2 diabetes mellitus (observation group) were investigated by Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS) to evaluate the prevalence of depression and anxiety. The duration of illness, the prevalence of HbA1c HbA1c), fasting blood glucose (FBG), blood glucose up to the normal need of time, the occurrence of complications to analyze its impact on the treatment and prognosis of diabetes. Results The prevalence of anxiety in type 2 diabetic patients was 15.20%, the anxiety score was 39.5 ± 5.4, the prevalence of depression was 32.28%, and the depression score was 36.1 ± 6.8, both of which were higher than those of the control group. The prevalence of HbA1c, FBG and blood glucose in type 2 diabetic patients with depression and anxiety was significantly higher than those without anxiety and depression. Conclusions Patients with type 2 diabetes have poor psychological status and are prone to depression and anxiety. Depression and anxiety may lead to poor glycemic control and complications, which may affect each other.