降糖解郁合剂联合心理综合疗法治疗糖尿病合并抑郁的临床探究.pdfVIP

提 要 目的: 观察降糖解郁合剂联合心理综合疗法治疗 2 型糖尿病合并抑郁的临床研 究。方法: 在基础降糖的前提下，将临床诊断为 2 型糖尿病合并抑郁的 60 例患者随 机分为两组，其中治疗组 30 例，给予降糖解郁合剂联合心理综合疗法治疗；对照组 30 例，给予谷维素治疗，两组均以 4 周为一个疗程，连用 2 个疗程。结果: 经临床 观察，治疗组在改善本病的症状和体征方面优于对照组（P0.05）；在降低空腹（FBG） 及餐后2小时血糖（PBG）、糖化血红蛋白（HbA1c）方面明显优于对照组（P0.05）； 在改善总胆固醇（TC）、甘油三酯（TG）水平及抑郁自评量表（SDS）评分方面优于对 照组（P0.05）；并且在治疗过程中未发生不良反应。结论: 临床观察表明降糖解郁 合剂联合心理综合疗法治疗2型糖尿病合并抑郁的疗效可靠，治疗2型糖尿病由注重 单纯的生化指标变为生化指标和生存质量并重，无明显不良反应，值得进一步研究。 关键词 2型糖尿病；抑郁；降糖解郁合剂；心理综合疗法 Clinical Study on Treatment of Type 2 Diabetes Mellitus Coexisted with Depression with Jiangtangjieyu Mixture Unite Psychology Interview Speciality: Internal Medicine of TCM Author: Zhang Yanyan Tutor: Professor Guo Baorong Abstract Objective:To observe the therapeutic effect of Jiangtangjieyu mixture unite psychology interview in treating type 2 Diabetes Mellitus coexisted with Depression. Methods:60 patients diagnosed type 2 Diabetes Mellitus coexisted with Depression were randomly classified into two groups.Under the basic premise of reducing the blood plasma glucose, 30 patients were treated with Jiangtangjieyu mixture unite psychology interview in treated group,others were treated with pile of Gu Weisu in control group.All of the groups were treated four 4 weeks as a course,taken for 2 courses. Results: Jiangtangjieyu mixture unite psychology interview could improve the singns and symptoms obviously.The difference was singnificant compared to the control group （P0.05 ）.And it also could decrease fasting blood glucose (FBG),2 hours postprandial blood glucose (PBG) and glycosylated hemoglobin (HbA1c) obviously superior to the control group (P0.05); improve TC TG and depression