壮族人群糖尿病伴抑郁患病率及危险因素剖析.docVIP

壮族人群糖尿病伴抑郁患病率及危险因素剖析 　　【关键词】 糖尿病;抑郁症;危险因素 　　中图分类号：R587.1;R749.4+1 文献标识码：A DOI：10.3969/j.issn.1003-1383.2018.01.013 　　Analysis of prevalence and risk factors of diabetics combined with depression in Zhuang nationality 　　OU Lina，YANG Dawei 　　【Abstract】 Objective Cross-sectional survey was conducted to investigate the prevalence of diabetics combined with depression in Zhuang nationality，and to analyze its risk factors，so as to provide new perspectives and basis for the education of patients with diabetes mellitus. 　　Methods A total of 420 hospitalized patients were enrolled，which included 264 males and 156 females，aged（53.3±12.63） years，and the course of disease was（4.13±3.27） years.Hospital Anxiety and Depression Scale （HADS） was used to measure the depression score of the patients.The depression score was 0～7 in non depression group and 8～21 in depression group，and the prevalence of depression in diabetics patients was obtained.A comparative study was carried out on general situation like age，sex，body mass index，course of disease，smoking，diabetes education and treatment methods and educational background as well as related biochemical data like blood pressure，blood lipid，glycosylated hemoglobin，C reactive protein，urinary albumin/creatinine ratio（ACR） between the two groups.Meanwhile，Logistic regression analysis was used to find out the risk factors of depression. 　　Results 39.28% （165 cases） of patients had varying degrees of depressive symptoms，of which 108 cases were male，accounting for 65.45%，and 57 cases were female，accounting for 34.55%.Age，diastolic blood pressure，cystatin C，VLDL，TG，HbA1c，CRP and ACR in the depression group were higher than those of the non depression group，difference was statistically significant（Plt;0.01）.Binary Logistic analysis showed that cystatin C （OR=2.03，95% CI 1.11～3.71），diastolic pressure（OR=1.05，95% CI 1.00～1.10），ACR （OR=1.03，95% CI 1.00 ～1.07） were risk factors for depression in diabetic patients.And there was no sign