胰岛素联合格列美脲治疗老年糖尿病患者的心理干预研究  

Study on the effect of psychological intervention combined with insulin and glimepiride on the treatment of elderly patients with diabetes

作　　者：朱黎霞 卢彩霞[2] 

机构地区：[1]杭州市上城区湖滨街道社区卫生服务中心护理部,浙江杭州310001 [2]杭州市第一人民医院综合病房,浙江杭州310006

出　　处：《中国生化药物杂志》2017年第8期235-236,238,共3页Chinese Journal of Biochemical Pharmaceutics

摘　　要：目的 探讨胰岛素联合格列美脲治疗老年糖尿病患者基础上加用心理干预的临床效果。方法 选取本院于2012年7月-2017年3月期间收治的150例老年糖尿病患者作为本次研究对象,经单双数字法（入院就诊顺序）将150例老年糖尿病患者随机分为研究组（n=75）、对照组（n=75）。对照组老年糖尿病患者接受胰岛素联合格列美脲治疗,研究组在接受上述治疗基础上加用心理干预。结果 治疗后研究组2 h PG、FBG、HbAlc均优于对照组（P〈0.05）;研究组HAMD量表评分较之前显著下降（P〈0.05）,对照组HAMD量表评分较治疗前无明显变化。结论 在老年糖尿病患者给予胰岛素联合格列美脲治疗基础上,加用相应心理干预可显著改善其抑郁情绪,对提高血糖改善效果具有积极意义。Objective To investigate the clinical effect of psychological intervention combined with insulin and glimepiride on the the treatment of elderly patients with diabetes. Methods 150 cases of elderly patients with diabetes in our hospital from July 2012 to March 2017 were treated as the research object, the single and double number （hospital admission order） 150 cases of elderly patients with diabetes were randomly divided into study group （n=75） and control group （n=75）. The control group of elderly diabetic patients receiving insulin combined with glimepiride treatment in the study group received the basic treatment combined with psychological intervention. Results After treatement, 2 hPG, FBG and HbAlc were better than those in the control group （P〈0.05）. HAMD score in the study group after treatment decreased significantly than that before treatment（P〈0.05）. The difference of HAMD score in the control group had no statistically significant. Conclusion Psychological intervention combined with insulin and glimepiride on the treatment of elderly patients with diabetes can improve the depression, has a positive significance to improve the effect of blood glucose.

关 键 词：糖尿病 胰岛素 格列美脲 心理干预 

分 类 号：R587.1[医药卫生—内分泌]