住院糖尿病患者心理干预联合胰岛素泵强化治疗的效果及费用的研究  

The Study of Effectiveness and Costs of Metal Intervention Combined with Insulin Pump Intensive Treatment for Diabetes Inpatients

作　　者：刘小莲[1] 钟春梅[1] 罗冬梅[1] 江浩[1] 陆粤就[1] 陈洪莲[1] 黄燕红[1] 

机构地区：[1]广东省信宜市人民医院,广东信宜525300

出　　处：《中国医学创新》2013年第13期3-5,共3页Medical Innovation of China

摘　　要：目的:探讨心理干预联合胰岛素泵强化治疗住院糖尿病患者的效果及费用情况,为临床选择合适的治疗方案提供依据。方法:将100例住院糖尿病患者随机分为A组、B组、对照组。A组、B组患者入院后均进行抑郁自评量表(SDS)、焦虑自评量表(SAS)测定,根据评分确定患者情感障碍的分级,A组采取相应措施进行心理干预,必要时给予药物治疗,同时应用胰岛素泵泵入胰岛素类似物控制血糖。B组应用胰岛素泵泵入胰岛素类似物控制血糖。对照组进行每天多次注射胰岛素类似物治疗。所有患者均接受综合治疗措施。结果:A组在达到良好控制血糖的治疗中所需要的时间、总住院时间、费用(总医疗费用、总药费)均低于B组(P<0.05);B组在达到良好控制血糖的治疗中所需要的时间、总住院时间、费用(总医疗费用、总药费)均低于对照组(P<0.05)。结论:心理干预联合胰岛素泵注射胰岛素能更快更有效地控制血糖,减少了患者住院天数及治疗费用,是一种安全、有效、经济的治疗方法。Objective： To investigate the effectiveness and costs of metal intervention combined with insulin pump intensive treatment for diabetes inpatients, and aim to provide the basis for the appropriate clinical treatments. Method： A total of 100 diabetes inpatients enrolled were divided randomly into group A, group B and control group. Patients in group A and group B were determined the classification of affeetive disorder by Serf-Rating Depreasion Scale （ SDS ） and Self-Rating Anxiety Scale （ SAS ） . Among them patients in group A received appropriate measures to mental intervention, even administered psychological medication if necessary, at the same time, were continuously subcutaneously infused insulin analogues by insulin pump. Group B was only continuously subcntaneously infused insulin analogues by insulin pump. In control group, patients were injected insulin analogues multiply one day. All patients accepted comprehensive treatment. Result： The time required to achieve good control of blood glucose, total hospital stays, hospitalization cost in group A was lower than that in group B （ P〈0.05 ） . Group B , however, was lower than control group （ P〈0.05 ） . Conclusion： Metal intervention combined with insulin pump intensive treatment is a safe, effective, economic therapy which control blood glucose more faster and effective, reduce the length of hospital stay and hospitalization fee.

关 键 词：糖尿病 心理干预 胰岛素泵 效益分析 

分 类 号：R587.1[医药卫生—内分泌]