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目的探讨糖尿病性脑血管病情绪障碍的高危险因素及其对预后的影响,寻求降低情绪障碍发生率的方法及预防措施。方法选择入组条件情绪障碍84例为治疗组,同期就诊的无焦虑抑郁障碍的患者95例为对照组,对所有入组患者进行多因素评定,最后进行两组以上指标的对照分析,比较分析糖尿病性脑血管病情绪障碍的相关因素。结果病程、体重指数、空腹血糖、并发症数目为糖尿病性脑血管病情绪障碍的危险因素,神经缺损程度越重,日常能力低下,伴发疾病多,情绪障碍发病率越高。研究发现治疗组的神经缺损程度与情感障碍比对照组严重,显示神经功能评分越高,亦诱发情绪障碍。随着干预治疗的进行,治疗组的生活质量、神经缺损程度、情绪障碍明显改善。结论根据发病特点,对糖尿病性脑血管病情绪障碍进行有效的预防和干预措施,为防治对策提供依据。
Objective To explore the high risk factors of mood disorder in diabetic cerebrovascular disease and its impact on prognosis and seek ways to reduce the incidence of mood disorders and preventive measures. Methods Eighty-four patients with mood disorder were enrolled in the study group. Ninety-five patients with anxiety and depression disorder were enrolled in the same period. All patients were evaluated by multivariate analysis. Finally, two groups of above-mentioned indicators were compared and analyzed Related Factors of Mood Disorder in Diabetic Cerebrovascular Disease. Results The course of disease, body mass index, fasting blood glucose and complications were the risk factors of mood disorder of diabetic cerebrovascular disease. The more serious the nerve defects, the lower daily ability, the more complicated diseases and the higher incidence of mood disorders. The study found that the treatment group, the degree of neurological deficit and affective disorder than the control group, showing higher neurological score, also induced mood disorders. With the intervention, the quality of life, neurological deficits and mood disorders in the treatment group were significantly improved. Conclusion According to the characteristics of the onset, effective prevention and intervention measures for mood disorders of diabetic cerebrovascular disease provide basis for prevention and treatment measures.