Study Of Correlation Of Anxiety And Depression With Syndrome Differentiation Of Diabetes Eye Disease

Objective:Under the guidance of basic theory of Traditional Chinese Medicine(TCM),to analysis the correlation of anxiety and depression with syndrome differentiation of diabetes eye disease.The objective of the study is to summary the feature of syndrome differentiation of diabetes eye disease,so it can service for clinical diagnosis and treatment.Methods:Use Hamilton Anxiety Scale(HAMA) and Hamilton Depression Scale (HAMD)to survey150Diabetes Eye Disease patients and100normal persons,and observe the anxiety and depression scores and general status of the two groups, including the correlation of anxiety and pression of Diabetes Eye Disease patients and vision, course of disease,installments,Chinese Medical Syndrome type and so on.Finally,compare the differences of the above index.Results:The total number of diabetes eye disease are150,52cases of those just have anxiety,and3just had depression,but22cases of those have both anxiety and depression,and the rest have no anxiety or depression.The score of anxiety is14.99±5.64(n=150) and the depression is10.25±5.53(n=150),and the anxiety and the depression have linear correlation(the correlation coefficient is0.657,p=0.000).The score of anxiety and depression of nonproliferative diabetic retinopathy are12.72±3.99and8.51±5.16respectively,and the score of proliferative diabetic retinopathy is17.04±6.13and11.82±5.41.The number of control group is100,13cases of those just have anxiety,and4just have depression,2cases of those have both anxiety and depression.The score of anxiety and depression of control group are8.19±4.44and5.14±4.25respectively.The score of anxiety and depression of case group have no meaningful correlation of sex、age and education(p>0.05),but which has significant correlation of course of disease and vision.The syndrome of yin deficiency and blood stasis and syndrome of phlegm and blood stasis have higher risk of anxiety and depression,and the four sydromes have differences(p>0.05).Conclusion:The probability of occurrence of anxiety and depression of patient with Diabetes Eye Disease is higher than the control group’s,which has positive correlation of vision,course of disease and stage,and which also has close correlation of the pathological factors of phlegm and blood stasis. So we should take some psychological intervention in clinical practice,which includes psychological counseling and materia medica which can relieve the depressed liver.Especially,relieving the depressed liver could be through the treatment of diabetes eye disease.