心理干预治疗儿童1型糖尿病的临床疗效观察

Clinical Effects of Psychotherapy in Children with Type 1 Diabetes

目的探讨心理干预治疗对1型糖尿病患儿的情绪障碍及血糖控制的临床疗效。方法采用随机对照方法，将符合1型糖尿病诊断标准的80例学龄期儿童分为治疗组40例，对照组40例，给予同样药物治疗，治疗组同时进行综合性心理治疗，比较治疗前后两组患儿的抑郁、焦虑情绪以及糖化血红蛋白。结果治疗后两组患儿的抑郁、焦虑情绪评分均较治疗前好转，但仅有治疗组有统计学意义（P〈0．01），治疗组患儿糖化血红蛋白优于对照组（P〈0．01）。结论心理干预能明显改善1型糖尿病患儿的情绪障碍，改善其临床疗效，药物辅以心理干预治疗儿童1型糖尿病疗效优于单纯药物治疗。

Objective To study the clinical effects of psychotherapy on Emotional disorders and glycemic control of children with diabetes. Method Eighty children with diabetes were randomly divided into intervention group （n=40） and control group （n=40）.The children in control group were give drug treatment ,the children in intervention group were give drug treatment and psycllotherapy.The anxiety and depressive symptoms,the HbAlc were assessed before and after treatment in both groups. Results After treatment The anxiety and depressive value in both groups were decrease^t,but only the value of intervention group was significant （P〈0.01）.The HbAlc of intervention group were more effective than control group （P〈0.01）. Conclusion Psychological intervention can significantly improve the emotional disorders of children with diabetes,improve the clinical effects.