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老年2型糖尿病伴发精神障碍抗精神病治疗效果观察

朱满连 卢舜飞 周秀娟 赖根祥 华英 江瑞来

浙江医学2012,Vol.34Issue(13):1142-1144,3.
浙江医学2012,Vol.34Issue(13):1142-1144,3.

老年2型糖尿病伴发精神障碍抗精神病治疗效果观察

Antipsychotic treatment for elderly type 2 diabetic patients complicated with mental disorders

朱满连 1卢舜飞 2周秀娟 1赖根祥 1华英 1江瑞来1

作者信息

  • 1. 323000,丽水市第二人民医院老年科
  • 2. 丽水学院医学院内科
  • 折叠

摘要

Abstract

Objective To evaluate the effectiveness of antipsychotic therapy in elderly type 2 diabetic (T2DM)patients complicated with mental disorders. Methods Sixty elderly T2DM patients complicated with mental disorders were divided into antipsychotic group (n=30) and control group (n=30). Both groups were given the routine medical treatment for 12 weeks; small dose quetiapine fumarate and psychological therapy were additionally give to antipsychotic group. The therapeutic effectiveness was evaluated with Brief Psychiatric Rating Scale (BPRS) and FBG, 2hPBG and HbAlc were determined before and after treatment in both groups. Results The BPRS scores in antipsychotic group were significantly lower than those in control group. The FBG, 2hPBG and HbAlc decreased significantly after antipsychotic treatment (P<0.05) compared with control group. Conclusion Small dose quetiapine and psychological therapy combined with routine medication are effective for elderly T2DM complicated with mental disorders with well tolerability, compliance and no serious adverse events.

关键词

老年2型糖尿病/精神障碍/富马酸喹硫平

Key words

Elderly type 2 diabetic patients/ Mental disorders/ Quetiapine fumarate

引用本文复制引用

朱满连,卢舜飞,周秀娟,赖根祥,华英,江瑞来..老年2型糖尿病伴发精神障碍抗精神病治疗效果观察[J].浙江医学,2012,34(13):1142-1144,3.

基金项目

丽水市科技计划项目(2010JYZB30) (2010JYZB30)

浙江医学

OACSTPCD

1006-2785

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