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目的:分析研究老年糖尿病患者抑郁的临床诊治手段并进行相关性研究。方法:选取2010年8月至2013年4月间入我院进行治疗的老年糖尿病并发抑郁患者100例为研究对象进行回顾性分析,进行抑郁自评和胰岛素治疗,观察治疗结果、分析相关性。结果:胰岛素治疗后患者血糖得到良好控制,低血糖发生率降低,平均控制天数得到优化,治疗前后对比差异具有统计学意义(P<0.05);患者抑郁症的发生与体重指数、并发症情况和使用胰岛素治疗均相关。结论:体重指数、并发症情况和胰岛素治疗与老年糖尿病患者抑郁症的发生相关,要加强心理干预、健康教育和药物治疗,从而降低并发症发生率,改善患者生存质量。
Objective: To analyze and study the clinical diagnosis and treatment of depression in elderly patients with diabetes mellitus and to make a correlation study. Methods: A total of 100 elderly patients with diabetes mellitus and depression who were admitted to our hospital from August 2010 to April 2013 were retrospectively analyzed. Self-rating depression and insulin therapy were performed. The treatment outcome was observed and the correlation was analyzed. Results: After the treatment of insulin, the blood glucose was well controlled, the incidence of hypoglycemia was decreased and the average number of days of control was optimized. The difference between before and after treatment was statistically significant (P <0.05). The incidence of depression and body mass index, complications and The use of insulin treatment are related. Conclusion: Body mass index, complications and insulin therapy are related to depression in elderly diabetic patients. Psychological intervention, health education and medication should be strengthened to reduce the incidence of complications and improve the quality of life of patients.