糖尿病性视网膜病变患者并发焦虑抑郁状态的临床分析

目的:了解糖尿病性视网膜病变患者伴发焦虑抑郁状态的临床特征。方法:应用HAMD/HAMA对糖尿病性视网膜病变伴发焦虑抑郁状态患者的抑郁及焦虑和一般情况及治疗前后进行比较分析。结果:与糖尿病眼底无明显改变患者比较,糖尿病视网膜病变患者在躯体症状的表现上更为明显,其差别有统计学意义,而在抑郁的其他症状上,二者无明显统计学差别。两者在HAMD方面均表现为轻中度抑郁,比较无明显统计学意义。两组患者在HAMA评分上均以肯定有焦虑和明显焦虑为主,而DR患者在明显焦虑这一分组上与糖尿病无明显眼底改变患者比较有统计学意义。结论:糖尿病性视网膜病变患者常伴有焦虑抑郁状态,在治疗糖尿病性视网膜病变的同时应适当配合抗焦虑抑郁治疗,减轻患者的痛苦,提高患者生活质量。

Clinical analysis of anxiety and depression in patients with diabetic retinopathy

·AIM:To understand clinical features of patients with diabetic retinopathy(DR).·METHODS:The anxiety and depression status of patients with DR were evaluated with HAMD /HAMA.A comparative analysis of the general situation and the anxiety and depression status of patients with DR were performed before and after treatment.·RESULTS:Compared with patients without DR,the physical symptoms became more evident in patients with DR.The difference of the physical symptoms was statisti-cally significant.While the difference of the symptoms of depression was not statistically significant.Both were showed mild to moderate depression in the HAMD.Both were showed moderate to obvious anxiety in the HAMA.And the difference of obvious anxiety between patients with DR and patients without DR was statistically significant.·CONCLUSION:Patients with DR are often accompanied by anxiety and depression.Treatment of DR should be accompanied with properly anti-anxiety and anti-depression treatment,which will reduce the suffering of patients and improve the quality of life.·