我国2型糖尿病伴高血压患者抑郁症状meta分析

发布时间：2018-02-03 15:11

本文关键词： 型糖尿病高血压抑郁症状 meta分析　出处：《中国心理卫生杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的:评价我国2型糖尿病伴高血压患者抑郁症状的情况。方法:检索相关期刊论文(CNKI),万方数据库,中国生物医学文献数据库SinoMed,Pubmed和Embase中关于我国2型糖尿病伴高血压患者抑郁症状的相关文献。根据2型糖尿病患者是否伴有高血压,将患者分为病例组和对照组。在进行文献质量评价和数据提取后,使用Stata12.0软件进行meta分析。结果:共纳入11篇文献,样本总量为8031人,2型糖尿病伴高血压患者共4711人(病例组),抑郁症状检出率为43.5%(95%CI:26.1%~60.8%);2型糖尿病不伴高血压患者共计3320人(对照组),抑郁症状检出率为34.0%(95%CI:19.6%~48.5%)。合并效应值OR为1.32(95%CI:1.05~1.67,P㩳0.05)。结论:2型糖尿病患者伴有高血压会导致发生抑郁症状的危险性增高,因此,医务人员需对此类患者的精神健康引以重视。
[Abstract]:Objective: to evaluate the depressive symptoms of patients with type 2 diabetes mellitus and hypertension in China. Chinese Biomedical Literature Database SinoMed.Pubmed and Embase related to depressive symptoms in type 2 diabetes patients with hypertension, according to whether type 2 diabetes patients are associated with hypertension. The patients were divided into two groups: case group and control group. After literature quality evaluation and data extraction, meta analysis was performed with Stata12.0 software. The total sample was 8031 patients with type 2 diabetes mellitus and hypertension. The total number of patients with type 2 diabetes mellitus and hypertension was 4 711 (case group). The incidence rate of depression was 43.5%, and the score of depression was 43.5%. There were 3320 patients with type 2 diabetes without hypertension. (control group, the detection rate of depression was 34.0 ~ 95CIW 19.648.55.The combined effect OR was 1.32? 95 CI: 1.05U? 77.P??? Conclusion the risk of depressive symptoms may be increased in patients with type 2 diabetes accompanied by hypertension. Therefore, medical staff should pay attention to the mental health of these patients.
【作者单位】：南通大学护理学院;南通大学第二附属医院护理部;南通大学第二附属医院内分泌科;
【基金】：2015年南通市民生示范推广项目(MS32015022)
【分类号】：R544.1;R587.1;R749.4
【正文快照】： 据报道,我国2型糖尿病(type 2 diabetesmellitus,T2DM)的患病率达到9.1%,并呈逐年上升的趋势[1]。T2DM是一种无法治愈,只能控制的慢性终身性代谢疾病。随着该病进展,患者不仅有心、肾、眼、足等微血管、大血管并发症,而且会产生精神疾病。抑郁症状是T2DM患者常见的伴发疾病,约

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