【摘要】 目的:调查2型糖尿病患者抑郁的患病情况及评价2型糖尿病合并抑郁与无抑郁两组患者相关因素的差异。方法:T2DM患者151例采用汉密顿抑郁量表(17项)测评。根据评分临床诊断:合并有抑郁的患者59例为抑郁组,无抑郁的糖尿病患者92例为对照组。调查两组患者年龄、性别、身高、体重、收入情况、糖尿病病程、并发症、饮食习惯、生活习惯、糖尿病治疗情况、血糖、糖化血红蛋白(HBA1C)、血脂等。结果:调查的151例2型糖尿病患者中抑郁患病率为39.1%。抑郁组(病例组)女性(44.3%VS27.8%,P=0.035,病例组和对照组比较),独居或丧偶(35.6%VS 8.7%,P<0.001),低收入(81.4%VS 40.2%,P<0.001),有并发症的患者(98.3%VS 88.0%,P=0.023)的比率都显著高于非抑郁组。抑郁组HBA1C(98.3%VS 22.8%,P<0.001)显著高于对照组。注射胰岛素者(45.8%VS 28.3%,P=0.028)均显著多于非抑郁组;而缺少锻炼的人的比率显著超过无抑郁组(55.9%VS20.7%,P<0.001)。结论:2型糖尿病患者中抑郁的患病率较高,女性、丧偶或独居、低收入、血糖控制不良、并发症、和注射胰岛素、及缺少锻炼和抑郁关系密切。更多还原

【Abstract】 Objective: To investigate the incidence and related factors of depression in type 2 diabetes mellitus.Methods: 151 patients with type 2 diabetes mellitus were evaluated with Hamilton depression rating scale.There were 59 cases with depression(depression group) and 92 cases without depression(control group) according to Hamilton depression rating scale.The age,genders,height,weight,income,pathogenesis,complication,food habits,living habit,therapeutics,blood glucose,glycosylated hemoglobin and blood fat were observed.Results: The incidence of depression in type 2 diabetes mellitus was 39.1%.The ratio of female,living alone or widowhood,low income and complications in depression group were larger than that in control group.The level of HBA1C in depression group was higher than that in control group.The patients of treatment with insulin and short of exercise of depression group were more than that in control group.Conclusion: Incidences of depression in type 2 diabetes mellitus were high.The female,living alone or widowhood,low income,uncontrolled blood sugar,complications,insulin treatment and short of exercise were related to depression in type 2 diabetes mellitus.更多还原