老年糖尿病患者合并抑郁障碍对血糖控制的影响

目的 研究糖尿病患者合并抑郁障碍对血糖控制的影响。方法 对2002年1～4月糖尿病专科门诊的201名55岁以上的糖尿病患者进行调查分析。被调查的患者全部参加糖尿病教育大课堂,填写Zung抑郁自评量表,按≥40分和<40分将患者分为两组,对其一般情况和血糖控制情况进行统计学分析。结果 201人中有85人(42.3％)Zung抑郁自评量表评分≥40分。伴发抑郁障碍糖尿病患者,空腹血糖及餐后2h血糖均明显高于无抑郁障碍的糖尿病患者。老年糖尿病患者伴发抑郁障碍以乏力、失眠、体重下降和便秘等躯体症状为多见,而重点反映情绪的情绪低落、委屈想哭、易激动等项次之。结论 当糖尿病患者伴发抑郁障碍时,对控制血糖有不利的影响。

Effects of complicated depression in the elderly diabetics on their blood sugar control

Objective To study the influence of complicated depression in the elderly diabetics, diabetes mellitua (DM) type 2, on their blood sugar control.Methods Two hundred and one patients with diabetes ( 102 males and 99 females) aged SS to 85 years were studied in the outpatient department during January to April 2001. All the patients were asked to attend a health education course specially for the diabetics and were divided into two groups according to their Zung's self depression score (SDS) either >40 or < 40. Resilts of their general status and blood sugar control were statistically analyzed.Results Eighty-five of the 201 patients (42.3%) were categorized as the group with Zung's SDS >40. Fasting blood sugar level and blood sugar level two hours after meals were significantly higher in those complicated with depression than those without it, with P<0.001. Depressive symptoms including fatigue, insomnia, weight loss, constipation, etc. were more often found in the elderly diabetics, and then followed by low emotion, grievance, irritability, etc.Conclusion Diabetics complicated with depression in the elderly would affect their blood sugar control.