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目的观察系统管理对糖尿病合并抑郁症者病情转归的影响。方法所选病例均为糖尿病管理室建立电子档案的糖尿病患者,经抑郁自评量表(SDS)筛查出的合并抑郁症的糖尿病患者,随机分为管理组及对照组,各100人,两组在性别、年龄、文化程度、病程、并发症、血糖、血压、血脂等方面无差异。结果系统管理3个月及6个月后,SDS评分管理组明显下降,与对照组相比存在明显差异;空腹血糖,餐后2小时血糖、糖化血红蛋白、血脂、血压等代谢指标明显改善,与对照组相比存在明显差异;体重指数(BMI)与管理前相比有所下降,但与观察组相比无明显差异。结论系统管理可增强糖尿病患者战胜疾病的信心,缓解其紧张抑郁情绪,有效改善患者抑郁症状及临床指标,使病情得到很好控制。
Objective To observe the effect of systemic management on the prognosis of patients with diabetes complicated with depression. Methods All patients with diabetes mellitus who had established an electronic archives in the diabetes management office and diabetes mellitus patients with depression as screened by Depression Self-rating Scale (SDS) were randomly divided into a management group and a control group, each with 100 There was no difference in gender, age, education level, course of disease, complications, blood sugar, blood pressure, blood lipid and so on. Results After 3 months and 6 months of system management, the SDS score management group decreased significantly compared with the control group. The fasting blood glucose, 2-hour postprandial blood glucose, glycosylated hemoglobin, blood lipid, blood pressure and other metabolic indices were significantly improved, and Compared with the control group there was a significant difference; body mass index (BMI) compared with the pre-management decreased, but no significant difference compared with the observation group. Conclusion Systemic management can enhance the confidence of diabetic patients to overcome the disease, relieve their depression and reduce the symptoms and clinical indicators of patients with depression, so that the disease is well controlled.