基于伤寒六经辨证治疗独居老年糖尿病合并抑郁症的效果分析

目的:探讨基于伤寒六经辨证治疗独居老年糖尿病合并抑郁症的效果分析。方法:回顾性分析2012年9月至2015年12月期间我院收治的独居老年糖尿病合并抑郁症患者200例,依据干预方法分为辨证组和对照组,每组100例,对照组患者给予常规干预,辨证组患者在此基础上给予伤寒六经辨证治疗,随访6个月,采用汉密尔顿焦虑量表(HAMA)评估焦虑状态,采用汉密尔顿抑郁量表(HAMD)评估抑郁状态,采用Morisky用药依从性问卷(MMAS-8)评估依从性,统计分析所有患者干预前后空腹血糖、餐后2 h血糖水平和干预前、干预后1、3、6个月的焦虑和抑郁状态。结果:辨证组患者干预后空腹血糖、餐后2 h血糖水平明显低于对照组,前者MMAS-8得分明显高于后者,差异有统计学意义(P0.05);辨证组患者干预后1、3、6个月的HAMA和HAMD得分明显低于对照组,差异有统计学意义(P0.05)。结论:基于伤寒六经辨证治疗可有效改善独居老年糖尿病合并抑郁症患者血糖水平,提高患者用药依从性,还可减少焦虑和抑郁情绪的产生,值得临床作进一步推广。

Effect Analysis Based on Six-channel Pattern Identification Treating Solitary Elderly Diabetic Depression

To discuss the effect analysis based on six-channel pattern identification treating solitary elderly diabetic depression.Methods: Two hundreds patients with solitary elderly diabetic depression were selected,which was in our hospital from September 2008 to December 2012. According to the treatment, patients were divided into a pattern identification group and a control group, 100 cases in each.In the control group, patients were given regular intervention, while the pattern identification group extra six-channel pattern identification treatment, both followed up for 6 months. Hamilton anxiety scale (HAMA) was used to assess the state of anxiety, Hamilton depression scale (HAMD) the depression, Morisky medication adherence questionnaire (MMAS-8) compliance,and all patients''results of fasting blood glucose before and after the intervention, 2 h postprandial blood glucose level and anxiety and depression before intervention after 1, 3 and 6 months''intervention. Results: In pattern identification group, patients''fasting blood glucose, 2 h postprandial blood glucose level after intervention were significantly lower than those of the control group, and the former had higher MMAS-8 score (P<0.05); in pattern identification group, HAMA and HAMD scores after 1, 3 and 6 months'' intervention were significantly lower than those of the control group, with significant difference (P<0.05).Conclusion:Based on six-channel pattern identification, the solitary elderly diabetic depression patients''blood sugar levels and medication compliance can be improved, and it can also reduce anxiety and depression,It is worth for further clinical promotion.