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舍曲林治疗糖尿病合并抑郁患者的临床观察
Clinical Observation of Sertraline in the Treatment of Diabetes Patients Complicated with Depression
投稿时间:2014-10-11  修订日期:2015-01-20
DOI:
中文关键词:  舍曲林片  糖尿病  抑郁
英文关键词:Sertraline  Diabetes  Depression
基金项目:
作者单位
朱国芳 绍兴市第七人民医院药剂科 浙江绍兴 312000
 
董莹盈 绍兴市第七人民医院心三病区
 
徐剑英 绍兴市人民医院药剂科 
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中文摘要:
      摘 要 目的: 探讨糖尿病合并抑郁患者口服舍曲林片的疗效与安全性。方法: 74例糖尿病合并抑郁患者随机分为2组各37例,两组均予二甲双胍片500 mg,po,tid。观察组在此基础上加用舍曲林片50~100 mg,po,qd。两组疗程均为8周。对比两组患者治疗前后的糖代谢指标、抑郁自评量表(SDS)、糖尿病生命质量量表(DMQLS)评分的变化情况。结果:治疗8周后,两组患者血糖、SDS评分和DMQLS评分均较治疗前明显改善(P<0.05);且观察组FBG、2hPG、HbAlc水平及SDS评分明显低于对照组(P<0.05),DMQLS疾病、生理、心理、社会、满意度维度评分明显高于对照组(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论: 口服舍曲林片可改善糖尿病合并抑郁患者抑郁症状,提高血糖控制效果及生活质量。
英文摘要:
      ABSTRACT Objective: To investigate the effect and safety of sertraline tablets with oral administration in the diabetes patients complicated with depression. Methods: Totally 74 diabetes patients complicated with depression were randomly divided into 2 groups with 37 ones in each. All the patients were orally given dimethyldiguanide 500 mg,tid, and the observation group was given sertraline tablets additionally, 50 100 mg, qd. The treatment course was 8 weeks. The changes of sugar metabolism and the scores of self rating depression scale (SDS) and quality of life scale (DMQLS) in the two groups were compared. Results: After the 8 week treatment, the blood sugar, SDS scores and DMQLS scores in the two groups were significantly improved when compared with those before the treatment (P<0.05). The levels of FBG, 2hPG and HbAlc and SDS scores in the observation group were significantly lower than those in the control group (P<0.05), while the scores of DMQLS disease, psychology, society and satisfaction dimension were significantly higher in the observation group (P<0.05). The incidence of adverse reactions showed no statistically significant difference between the two groups (P>0.05). Conclusion:Sertraline tablets can improve the depression of diabetes patients and enhance the blood sugar control and quality of life.
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