【摘要】 目的:分析2型糖尿(T2DM)病后抑郁与中医体质的相关性,为2型糖尿病后抑郁的中医药防治提供参考。方法:选取T2DM患者214例,采用汉密尔顿抑郁量表评估患者的抑郁状态,采用中医体质分类与判定量表进行体质分布研究,Logistic回归分析糖尿病后抑郁的危险因素及其与中医体质的相关性。结果:214例T2DM患者中,抑郁患者104例,发生率为48.60%。Logistic回归分析显示受教育程度低、并发症多、女性、病程长是T2DM伴抑郁的危险因素(P <0.05),阴虚质、气郁质、气虚质是T2DM伴抑郁的致病体质(P <0.05),而社会支持是T2DM伴抑郁的保护因素(P <0.05)。结论:T2DM后抑郁与中医体质具有一定的相关性,提示可以通过辨质防治抑郁。更多还原

【Abstract】 Objective: To analyze the correlation between depression after type 2 diabetes mellitus(T2DM) and Chinese medicine constitution, and provide reference for preventing and treating depression after T2DM with Chinese medicine.Methods: Selected 214 cases of patients with depression after T2DM. Evaluated the depression condition of patients via Hamilton depression scale, and studied the distribution of Chinese medicine constitution via Chinese medicine constitution classification and identification scale. A logistic regression analysis was conducted for the risk factors of depression after T2DM and their correlation with Chinese medicine constitution. Results:Among 214 cases of patients with T2DM,104 cases of patients with depression occurred, and the incidence was 48.60%. According to the logistic regression analysis, risk factors of T2DM accompanied by depression were the low-education background,comparatively more complications,female and long course of disease(P < 0.05), pathogenic Chinese medicine constitution types were yin-deficiency constitution,qi-depression constitution and qi-deficiency constitution(P < 0.05), and the protective factor of T2DM accompanied by depression was social support(P < 0.05). Conclusion:There exists a correlation between depression after T2DM and Chinese medicine constitution to some extent,indicating the possible approach to preventing and treating depression after T2DM by constitution differentiation.更多还原