中药配合盐酸帕罗西汀治疗糖尿病所致抑郁障碍112例分析.docVIP

中药配合盐酸帕罗西汀治疗糖尿病所致的抑郁障碍112例分析 　　[摘要] 目的 分析中药配合盐酸帕罗西汀治疗糖尿病所致的抑郁障碍疗效。 方法 选取2016年1―11月收治的112例糖尿病所致抑郁障碍患者为研究对象，分别服用不同药物治疗，对比疗效。结果 实验组血糖水平显著改善，SAS及SDS评分显著优于对照组（P0.05）；实验组患者对于联合治疗方式的满意度显著高于对照组，差异有统计学意义（P0.05）。结论 对糖尿病所致的抑郁障碍患者采取中药配合盐酸帕罗西汀治疗，可以显著改善患者血糖水平，进而缓解患者由于血糖波动引起的抑郁障碍，提高患者生活质量，具有临床推广的应用价值。 　　[关键词] 2型糖尿病患者；医院-社区-家庭护理；干预效果 　　[中图分类号] R749 [文献标识码] A [文章编号] 1672-4062（2017）04（b）-0107-02 　　[Abstract] Objective To analyze the curative effect of traditional Chinese medicine and paroxetine hydrochloride in treatment of 112 cases with depression disorder caused by diabetes. Methods From January to November 2016，112 cases of patients with depression disorder caused by diabetes were selected and respectively took different drugs for treatment and the curative effect was compared. Results The blood glucose level in the experimental group was obviously improved， and the SAS and SDS scores were obviously better than those in the control group（P0.05）， and the satisfactory degree to the combined treatment method in the experimental group was obviously higher than that in the control group， and the difference was statistically significant（P0.05）. Conclusion The traditional Chinese medicine and paroxetine hydrochloride in treatment of 112 cases with depression disorder caused by diabetes can obviously improve the blood glucose level thus relieving the depression disorder caused by the blood glucose fluctuation and improve the quality of life of patients， and it is worth clinical promotion and application. 　　[Key words] Type 2 diabetes patients； Hospital-community-family nursing； Intervention effect 　　糖尿病是指?C体内激素分泌缺陷或者功能障碍而引起以血糖升高为主要临床特征的疾病。同时该疾病多发于中老年患者，是临床常见的高危疾病。临床研究表明，糖尿病与抑郁症的发病具有相关性[1]。糖尿病所致的抑郁障碍是糖尿病人常见并发症之一。盐酸帕罗西汀治疗糖尿病所致的抑郁障碍临床应用较为广泛，且疗效稳定，然后与中药联合使用的疗效尚不确切，该次研究以该院2016年1―11月收治的112例糖尿病所致的抑郁障碍患者为对象，研究自拟中药汤剂联合盐酸帕罗西汀治疗糖尿病所致的抑郁障碍的临床疗效，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　该次研究选择2016年1―11月期间收治的112例糖尿病所致的抑郁碍患者为研究对象：包括55例男性患者和57例女性患者；年龄在51～81岁之间，平均（60.7±5.2）岁；病程1.2～14年，平均（6.4±2.7）年。所有患者都是经临