抑郁对Ⅱ型糖尿病患者的血糖及慢性并发症的影响

目的通过临床病人资料回顾性分析，探讨抑郁对Ⅱ型糖尿病患者的血糖及慢性并发症的影响。方法：选取100例Ⅱ型糖尿病患者，经Zung氏抑郁自评量表评估后按照评估结果将其分为抑郁组（59例）与非抑郁组（41例），对比2组患者的血糖控制及慢性并发症发生情况。结果：（1）本组Ⅱ型糖尿病患者的抑郁发生率为59％，其中抑郁组的空腹血糖及餐后2 h血糖水平均明显高于非抑郁组。（2）抑郁组的心血管病变、糖尿病足、视网膜病变、糖尿病肾病及神经病变的发生率均明显高于非抑郁组。结论：抑郁会增加Ⅱ型糖尿病患者慢性并发症的发生率，在治疗与护理中应加强心理疏导，缓解患者的抑郁情绪，以提高其治疗效果与生活质量。

Objective Through clinical patient data were retrospectively analyzed to explore the depression patients with diabetes type Ⅱ blood glucose and the effect of chronic complications. Methods： Choose between January 2013 and December 2013, during the period of 100cases admitted in our hospital endocrinology II with type 1 diabetes as the observation object of this study, all patients were assessed by theZung＇s depression self rating scale after according to the evaluation results will be divided into the depression group （59 cases） with thedepression group （41 cases）, compared two groups of patients with blood sugar control and chronic complications. Results：（1）the Ⅱ with type 1diabetes incidence of depression was 59%, among them the depression group of fasting blood glucose and postprandial 2 h blood glucose levelswere significantly higher than the depression group.（2）the depression group of cardiovascular disease, diabetic foot, the incidence of retinopathy,diabetic nephropathy and neuropathy group were significantly higher than the depression. Conclusion： Depression increases the risk for＇type Ⅱdiabetic chronic complications, psychological counseling should be strengthened in the treatment and nursing, relieve the patient＇s depression,to improve its therapeutic effect and quality of life.