降糖通脉胶囊对2型糖尿病脑梗死恢复期的疗效对患者抑郁情绪的影响

Effect of Tongmai Hypoglycemic Capsules on depression in patients with type 2 diabetes mellitus with cerebral infarction

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(1)
作者
作者单位

天津市南开区王顶堤医院 ;
天津市第一中心医院 ;

摘要
[摘要] 探讨降糖通脉胶囊治疗老年2型糖尿病脑梗死恢复期的疗效及对抑郁的影响。方法 选取2015年1月-2016年10月我院110例2型糖尿病合并脑梗死恢复期患者,随机分为观察组和对照组,各60例,对照组接受西医常规治疗,观察组加用降糖通脉胶囊治疗,疗程均为14 d。观察2组临床疗效、神经功能缺损程度、空腹血糖(FBG)、餐后2 h血糖(2hPG)及糖化血红蛋白(HbAlc);比较两组患者治疗前后Epworth嗜睡量表(ESS)、Fugl-Meyer评分(FMA)、Barthel指数(BI)评分及生活质量、抑郁评分。结果 治疗组总有效率明显优于对照组(x2=11.23,P<0.01);治疗后观察组ESS、FMA及BI评分显著高于对照组(P<0.05);治疗后,观察组躯体功能、心理功能、社会功能评分高于对照组(P<0.05);2组治疗后FBG、2hPG、HbAlc水平均较治疗前显著降低(P均<0.05),且观察组上述糖代谢指标的改善情况显著优于对照组(P均<0.05);治疗后两组HAMA评分、HAMD评分比较,差异有统计学意义(t=7.31,8.35,P<0.05);2组治疗期间均未发现严重的药物相关的不良事件。结论 降糖通脉胶囊治疗老年2型糖尿病脑梗死恢复期安全有效,能有效降糖降脂,促进神经功能的修复,改善运动情况、生活质量及抑郁情绪,值得推广。
Abstract
Abstract Objective To investigate the effect of Tongmai Hypoglycemic Capsules on the treatment of type 2 diabetes mellitus with cerebral infarction and its effect on depression. Methods 110 patients from January 2015 to October 2016 were selected.They were randomly divided into observation group and control group, each 60 cases. The control group received routine treatment, while the observation group accepted with Tongmai Hypoglycemic Capsules treatment. The clinical efficacy,the degree of neurological deficits, fasting blood glucose,2hPG and HbAlc,the Epworth sleepiness scale, Fugl-Meyer score, Barthel index score, depression score and quality of life were observed after 14d.Results The effective rate of the treatment group was higher than control group (x2=11.23,P<0.01);After treatment,the ESS,FMA,BI,physical function,psychological function,social function scores of observation group were higher than the control group (P<0.05);After treatment,the FBG, 2hPG and HbAlc level of observation group was better than the control group (P<0.05);There was difference of HAMA score, HAMD score (t=7.31, 8.35, P<0.05);serious drug-related adverse events were not found during treatment. Conclusions Treatment of type 2 diabetes senile cerebral infarction recovery period of Tongmai Hypoglycemic Capsules is safe and effective,reduce blood lipid,promote the recovery of neural function,improve the quality of life and exercise, depression,is worthy of promotion.
关键词
[关键词]:降糖通脉胶囊;2型糖尿病;脑梗死;抑郁
KeyWord
Key Words Tongmai Hypoglycemic Capsules;Type 2 diabetes mellitus;Cerebral infarction; Depression
基金项目
页码 160-162
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王双柱*,王帅,许明东,李向东. 降糖通脉胶囊对2型糖尿病脑梗死恢复期的疗效对患者抑郁情绪的影响 [J]. 国际精神病学杂志. 2018; 45; (1). 160 - 162.

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