药物配合心理治疗糖尿病效果对照研究

The control study of the effect of drugs with psychotherapy on the patients with diabetes

目的:探讨药物配合心理治疗糖尿病的临床效果。方法:将60例住院糖尿病患者随机分为研究组和对照组各30例,两组均接受常规药物治疗,对照组仅给予支持性心理治疗,研究组在此基础上给予综合性心理治疗,时间为4周。干预前后采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评价两组心理状况,采用空腹血糖(FPG)、餐后2h血糖值(2hPG)、糖化血红蛋白(HbAlc)以及血三酰甘油(TG)评价两组血糖控制结果。结果:干预前,两组SAS、SDS及FPG、2hPG、HbA1c、TG评分无显著性差异(P>0.05);干预后,研究组SAS、SDS及FPG、2hPG、HbA1c、TG评分均明显低于对照组,具有显著性差异(P<0.01)。结论:药物配合心理治疗糖尿病效果优于单纯药物治疗。

Objective：To explore the rehabilitation effect of drugs with psychotherapy on the patients with diabetes.Methods：60 patients with diabetes were divided into study group（30 cases） and contral group（30 cases）,both groups were given conventional drugs therapy,the contral group only was given the supporting psychological treatment,on this basis,the study group was given the comprehensive psychological treatment for 4 weeks.Before and after intervention,used SDS and SAS to evaluate two groups of the psychological condition,used FPG,2hPG,HbA1c and TG to evaluate blood glucose control results.Results：Before intervention,there was no significant difference between the two groups of the scores of SDS,SAS,FPG,2hPG,HbA1c and TG（P〉0.05）;After intervention,the scores of SDS,SAS,FPG,2hPG,HbA1c and TG in study group were lower than that in contral group（P〈0.01）.Conclusion：Drug combined with psychotherapy is better than single drug therapy for treatment of diabetes.