62岁的唐女士退休前是机关的领导，精力充沛、雷厉风行，在单位是有名的女强人。大约一年前，唐女士的丈夫因病去世，孩子又不在身边，但她依然坚强地一个人面对生活。然而更加不幸的是，半年前唐女士被确诊为糖尿病，但不知道为何血糖就是控制不住，忽高忽低，最近还总是感觉到胸闷、胸痛和心慌，让子女们焦心不已。无奈之下，唐女士住进了鼓楼医院内分泌科。

Ms. Tang, a 62 - year - old retired is the head of the authority,Full of energy/Highly effective,In the unit was a famous woman.About a year ago,Ms. Tang's husband died because of illness,Don't have my child,But she is still strong to face life with a person.However, unfortunately,Ms tang six months ago was diagnosed with diabetes,But I don't know why is blood sugar control,High and low,Recently always feel chest tightness/Chest pain and confused,Let the children concerned.In desperation,Ms tang has been admitted to the drum tower hospital endocrinology.

　　住院期间，内分泌科的护士细心地发现唐女士虽然白天人多的时候开朗健谈，但每当夜深人静时，却辗转反侧，久久无法入睡，有时候还能听到她轻轻的叹气声，好像满怀心事。得知这个细节之后，唐女士的主治医生特意联系了医学心理科赵鹏医师为她会诊。

Hospital stay,Endocrinology of nurse carefully found ms tang while people more cheerful talkative during the day,But whenever the night,But tossing and turning,For a long time can't fall asleep,Sometimes I can hear she sighs softly,As if full of worry.After know the details,Ms tang doctor psychiatrist zhao peng have contacted medicine physician consultation for her.

　　针对唐女士的症状，赵鹏医师为她开了一些抗抑郁的药物和有助于睡眠的药物作为辅助治疗，并嘱咐她要积极寻找新的生活寄托，放开自己封闭的内心，多与家人、朋友交流，重新快乐起来。经过一段时间的住院治疗和心理疏导，唐女士的血糖控制得很好，睡眠也渐渐好了起来，脸上的笑容多了。

According to the symptoms of ms tang,Zhao peng doctor prescribed some antidepressant drugs for her and help sleep medicine as an adjuvant therapy,And commanded her hopes to actively looking for new life,Open your closed heart,More than with his family/friends,To be happy.After a period of hospitalization and psychological counseling,Ms tang glycemic control is very good,Sleep is good,A smile on her face.

　　鼓楼医院医学心理科赵鹏医师告诉记者，在临床上至少有一半的患者表现为以躯体症状为主的焦虑或者抑郁，他们中有的是本身就有慢性基础病，其中以内分泌、心血管、消化系统和肾脏疾病最为多见；另一部分患者并没有器质性病变，却表现出一系列躯体症状，如胸闷、心慌、胃痛、头痛、消化不良等等，有的患者甚至告诉医生感觉自己浑身哪里都痛，而各种身体检查的结果都正常。实际上，这些是抑郁症或焦虑症等心理疾病所表现出的躯体症状。

Drum tower hospital medical psychology branch zhao peng doctor told reporters,Is clinically characterized by at least half of the patients with somatoform symptoms of anxiety or depression,They have a basis of chronic disease in itself,With the endocrine/cardiovascular/The digestive and kidney diseases are the most rare;Another part of the patients did not implement qualitative sex pathological change,Has done a series of physical symptoms,Such as chest tightness/palpitate/Stomach pain/Have a headache/Indigestion, etc.,Some patients even told doctors feel whole body pain anywhere,And all kinds of physical examination result is normal.In fact,These are mental illnesses such as depression or anxiety disorder of somatic symptoms.

　　如今，很大一部分人对心理疾病的认识不够，有时候出现了情绪问题也不自知，更有甚者存在强烈的病耻感，拒绝面对和治疗。其实，抑郁症是一种全身系统性疾病，患者的身体机能会全面下降，从而出现一系列躯体不适感。这部分患者如果忽视了心理治疗，也很难取得显著的疗效。现在已经有学者提出将抑郁作为糖尿病的临床症状之一。如果情绪控制不好，血糖也很难得到有效的控制。所以，对于糖尿病等慢性疾病的治疗，心理干预也是不可或缺的重要一环。

now,A large part of people's understanding of mental illness is not enough,Sometimes emotional problems and don't even know it,What is more there is strong sense of disease shame,Refused to face and treat.In fact,Depression is a systemic disease,Body function of patients with comprehensive will be reduced,Resulting in a series of physical discomfort.This part of the patient if neglected the psychological treatment,Also it is difficult to achieve significant curative effect.Now some scholars proposed to depression as one of the clinical symptoms of diabetes.If emotional control is not good,Blood glucose is difficult to get effective control.so,In the treatment of chronic diseases such as diabetes,Psychological intervention is also an indispensable important one annulus.

　　通讯员 王娟 整理

The correspondent wang Juan