分析帕罗西汀对2型糖尿病伴发抑郁症患者的临床治疗效果

Analysis of the clinical effect of paroxetine on type 2 diabetic patients with depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(6)
作者
作者单位

驻马店市中心医院全科医学科 ;

摘要
目的:研究分析帕罗西汀治疗2型糖尿病伴发抑郁症患者的临床疗效。方法:于2018年12月--2019年12月本院纳入的98例2型糖尿病伴发抑郁症患者,作为此次研究之中的观察主体。根据电脑随机分组法,施行对照研究,其中一组名为常规组并予以常规治疗,另一组名为研究组则在常规治疗基础上加用帕罗西汀。每个组49例。结果:研究组临床疗效高于常规组(p<0.05);研究组空腹血糖、餐后2h血糖、糖化血红蛋白、三酰甘油、总胆固醇均低于常规组(p<0.05);研究组SAS、SDS评分低于常规组(p<0.05);研究组血清皮质醇水平低于常规组(p<0.05)。结论:对于2型糖尿病伴发抑郁症患者,临床常规治疗基础上加用帕罗西汀,不仅可以改善患者血糖、血脂,减轻其负面情绪,而且还可以降低其血清皮质醇水平,临床疗效突出,值得引起临床重视。
Abstract
Objective: To study and analyze the clinical efficacy of paroxetine in the treatment of type 2 diabetic patients with depression. Methods: from December 2018 to December 2019, our hospital included 98 patients with type 2 diabetes mellitus accompanied with depression as the main body of the study. According to the computer random grouping method, the control study was carried out, one group was named as the routine group and received routine treatment, the other group was named as the study group and received paroxetine on the basis of routine treatment. 49 cases in each group. Results: the clinical effect of the study group was higher than that of the routine group (P < 0.05); the fasting blood glucose, 2-hour postprandial blood glucose, glycosylated hemoglobin, triacylglycerol and total cholesterol of the study group were lower than those of the routine group (P < 0.05); the SAS and SDS scores of the study group were lower than those of the routine group (P < 0.05); the serum cortisol level of the study group was lower than that of the routine group (P < 0.05). Conclusion: for patients with type 2 diabetes mellitus accompanied with depression, paroxetine can not only improve blood glucose and blood lipid, reduce their negative emotions, but also reduce the level of serum cortisol. The clinical effect is outstanding, which deserves clinical attention.
关键词
帕罗西汀;2型糖尿病;抑郁症;临床疗效
KeyWord
paroxetine; type 2 diabetes mellitus; depression; clinical efficacy
基金项目
页码 1187-1189
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杨洁*. 分析帕罗西汀对2型糖尿病伴发抑郁症患者的临床治疗效果 [J]. 国际精神病学杂志. 2020; 47; (6). 1187 - 1189.

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