摘要
目的:研究脑电生物反馈治疗对2型糖尿病伴焦虑、抑郁状态患者的疗效及对糖代谢的影响。方法明确诊断的2型糖尿病焦虑、抑郁状态患者40例,随机分为研究组和对照组。应用焦虑、抑郁自评量表进行测评,观察治疗前后焦虑、抑郁及糖化血红蛋白(HbAlc)的变化。研究组应用脑电生物反馈治疗仪进行脑电生物反馈疗法(25min/次,2~3次/w,连续12w)并联合常规药物治疗。对照组单独使用常规药物治疗。结果研究组经脑电生物反馈联合常规药物治疗后抑郁、焦虑得到明显改善(P<0.05),HbAIc下降更为明显(P<0.05)。结论对2型糖尿病焦虑、抑郁状态患者给予脑电生物反馈联合常规药物治疗可明显改善抑郁、焦虑症状及糖代谢紊乱的控制。
Objective To study the ef ects of electroencephalographic biofeedback therapy on depression and anxiety symptoms and glucose metabolism in type 2 diabetes patients.Methods 40 patients diagnosed as type 2 diabetes in our hospital,were randomly divided into a control group(given routine drug treatment)and a study group(given routine drug treatment plus electroencephalographic biofeedback therapy).Self-Rating depression scale(SDS)and Self-Rating anxiety scale(SAS)were used to assess the mental symptoms.HbAlc was determined to show the ef ect of treatments on sugar metabolis.Treated with electroencephalographic biofeedback therapy(25minutes,2~3 times per week,12 weeks continuously)and routine drug treatment in study group;in control group only with routine drug treatment.Results The depression and anxiety symptoms got evidently improved in the study group(P<0.05).The lowering of HbAlc was more marked in the study group than in the control group(P<0.05).Conclusions The treating on depression and anxiety symptoms in type 2 diabetes patients with electroencephalographic biofeedback therapy associated with routine drug can help both to improve these anxiety and depression symptoms and to control glucose metabolism.
作者
李超
张家春
LI Chao;ZHANG Jia-chun(Chengdu Railway Branch Hospital Department of Endocrinology,Chengdu Sichuan 610081,China)
关键词
糖尿病
生物反馈
抑郁状态
焦虑状态
糖化血红蛋白
Diabetes
Electroencephalographic biofeedback therapy
Anxiety
Depression
HbAlc
