摘要
目的观察耳穴贴压治疗新诊断2型糖尿病合并抑郁症的临床疗效。方法将60例新诊断2型糖尿病合并抑郁症患者随机分为A组18例、B组22例和C组20例。3组均接受常规降糖治疗外,A组采用心理干预治疗,B组采用耳穴贴压治疗,C组采用口服盐酸氟西汀胶囊治疗。治疗8星期后,观察3组治疗前后空腹血糖、餐后2 h血糖、糖化血红蛋白及汉密尔顿焦虑量表(HAMD)评分的变化情况,并比较两组临床疗效。结果 3组治疗后空腹血糖、餐后2 h血糖及糖化血红蛋白比较,差异均无统计学意义(P>0.05)。3组治疗后HAMD评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。B组治疗2、4、6、8星期后HAMD评分与A组比较,差异均具有统计学意义(P<0.05)。B组治疗2星期后HAMD评分与C组比较,差异具有统计学意义(P<0.05)。C组治疗2、6、8星期后HAMD评分与A组比较,差异均具有统计学意义(P<0.05)。A组总有效率为77.8%,B组为90.9%,C组为90.0%,B组和C组总有效率与A组比较,差异均具有统计学意义(P<0.05)。结论耳穴贴压配合药物是一种治疗新诊断2型糖尿病合并抑郁症的有效方法。
Objective To investigate the clinical efficacy of auricular plaster therapy for depression in newly diagnosed type 2 diabetes. Methods Sixty patients with depression in newly diagnosed type 2 diabetes were randomly allocated to group A of 18 cases, broup B of 22 cases and group C of 20 cases. In addition to conventional hypoglycemic treatment, group A received psychological intervention; group B, auricular plaster therapy; group C, oral administration of fluoxetine hydrochloride capsules. Pre-/post-treatment changes in fasting blood glucose, two-hour postprandial blood glucose, glycosylated hemoglobin and the Hamilton Depression Scale（HAMD） score were observed in the three groups after eight weeks of treatment. The clinical therapeutic effects were compared between the three groups. Results There were no statistically significant post-treatment differences in fasting blood glucose, two-hour postprandial blood glucose and glycosylated hemoglobin among the three groups（P〈0.05）. There was a statistically significant pre-/post-treatment difference in the HAMD score in the three groups（P〈0.05）. There was a statistically significant difference in the HAMD score between groups B and A at two, four, six and eight weeks after treatment（P〈0.05）, between groups B and C at two weeks after treatment（P〈0.05） and between groups C and A at two, six and eight weeks after treatment（P〈0.05）. The total efficacy rate was 77.8% in group A, 90.9% in group B and 90.0% in the control group. There was a statistically significant difference in the total efficacy rate between group B or C and group A（P〈0.05）. Conclusion Auricular plaster therapy plus medication is an effective way to treat depression in newly diagnosed type 2 diabetes.
出处
《上海针灸杂志》
2016年第9期1073-1076,共4页
Shanghai Journal of Acupuncture and Moxibustion
关键词
耳穴贴压
糖尿病
2型
抑郁症
汉密尔顿焦虑量表
糖尿病并发症
Auricular plaster therapy
Diabetes
type 2
Depression
The Hamilton Depression Scale
Diabetic complication
