CAJ | 학술논문

目的：探讨2型糖尿病合并抑郁症的临床特点及相关危险因素。方法：选取北京市丰台区6家医疗机构636例2型糖尿病患者，对患者进行汉密尔顿抑郁量表（HAMD）测评，并填写糖尿病临床观察表，根据 HAMD 测评结果将患者分为糖尿病合并抑郁症组和非抑郁症组，分析对比2组的疾病相关因素及理化指标，对可能的相关因素分别进行单因素和多因素 Logistic 回归分析，探讨2型糖尿病合并抑郁症的危险因素。结果：636例2型糖尿病患者合并抑郁的患病人数为138人，患病率为21．7％。单因素分析发现糖尿病病程、并发症、运动锻炼、胰岛素治疗、HbA1c 在2组之间差异有统计学意义（P ＜0．05）。Logistic 回归分析显示：并发症、缺乏运动锻炼、高 HbA1c 均是糖尿病合并抑郁症的危险因素（P ＜0．05）。结论：HbA1c 高、存在多种并发症及缺乏运动锻炼的2型糖尿病患者是抑郁症的高发人群，应积极对其进行心理疏导，鼓励积极锻炼，控制血糖，必要时进行抑郁症筛选。
목적：탐토2형당뇨병합병억욱증적림상특점급상관위험인소。방법：선취북경시봉태구6가의료궤구636례2형당뇨병환자，대환자진행한밀이돈억욱량표（HAMD）측평，병전사당뇨병림상관찰표，근거 HAMD 측평결과장환자분위당뇨병합병억욱증조화비억욱증조，분석대비2조적질병상관인소급이화지표，대가능적상관인소분별진행단인소화다인소 Logistic 회귀분석，탐토2형당뇨병합병억욱증적위험인소。결과：636례2형당뇨병환자합병억욱적환병인수위138인，환병솔위21．7％。단인소분석발현당뇨병병정、병발증、운동단련、이도소치료、HbA1c 재2조지간차이유통계학의의（P ＜0．05）。Logistic 회귀분석현시：병발증、결핍운동단련、고 HbA1c 균시당뇨병합병억욱증적위험인소（P ＜0．05）。결론：HbA1c 고、존재다충병발증급결핍운동단련적2형당뇨병환자시억욱증적고발인군，응적겁대기진행심리소도，고려적겁단련，공제혈당，필요시진행억욱증사선。
Objective:To explore the clinical characteristic and relevant risk factors of type 2 diabetes with depression.Methods:A total of 636 type 2 diabetes patients from DongFang hospital and five community health service centers,were evaluted Hamilton Depression Rating Scaleand diabetes clinical observation tableat the same time.These patients were divided into the depression group and simple group.Compared various factors associated with disease and physical and chemical indicators.Logistic regression analysis was applied to investigate the risk factors for type 2 diabetes with depression.Results:The 636 diabetes,138(21.7%) were type 2 diabetes with depression.Single facor analysis revealed that the duration of 2 diabetes、the number of complications,ex-ercise、Insulin therapyand glycosylated hemoglobin(HbA1c)existsignificantdifferences between the two groups(P <0.05).Logistic regression analysis shows that the number of complications,exercise,HbA1c were the risk factors of type 2 diabetes with depression patients(P <0.05).Conclusion:Psychological counseling should be taken to the patient with complications,no exercise,and high HbA1c levels.