老年2型糖尿病伴抑郁症患者的发病现状及对糖脂代谢的影响

Morbidity Situation and Influence of Glucolipid Metabolism of Elderly Patients with Type 2 Diabetes Mellitus and Depression

探讨老年2型糖尿病伴抑郁症患者的发病现状及对糖脂代谢的影响。选择98例老年2型糖尿病患者作为研究对象,以抑郁自评量表结果将老年2型糖尿病伴抑郁症患者分成观察组与对照组,每组各49例。抑郁症患者为观察组,非抑郁症患者为对照组,分析两组患者的糖脂代谢情况。观察组患者的空腹血糖值(8.53±2.25)mmol/L、餐后2 h胰岛素水平(66.97±10.49)U/L、糖化血红蛋白值(8.66±2.11)%显著低于对照组患者的空腹血糖值(6.71±1.79)mmol/L、餐后2 h胰岛素水平(45.84±8.89)U/L、糖化血红蛋白值(6.04±1.68)%(P<0.05)。临床上应加强对糖尿病患者的心理疏导,行为干预及放松训练,采取音乐疗法、健康教育等多样化的方式,并遵医嘱给予患者抗抑郁药物,达到改善糖尿病患者的抑郁症状及控制尿糖的目的。

The research explores the morbidity situation and influence of glucolipid metabolism of elderly patients with type 2 diabetes mellitus and depression.98 elderly patients with type 2 diabetes mellitus are selected as the research objects,and the patients with type 2 diabetes mellitus and depression are divided into observation group and control group according to the results of Self-rating Depression Scale,with 49 patients in each group.The patients with depression are in the observation group,and patients without depression are in the control group.Glucolipid metabolism situation of two groups is compared.The fasting blood sugar value of observation group is(8.53±2.25)mmol/L,fasting insulin level 2h after dinner is(66.97±10.49)U/L,and glycosylated hemoglobin value is(8.66±2.11)%in observation group.These are all lower than(6.71±1.79)mmol/L,(45.84±8.89)U/L and(6.04±1.68)%in the control group(P<0.05).It is necessary to strengthen the psychological counseling,behavior intervention and relaxation training of diabetics in clinics.It is suggested to adopt diversified methods,such as musicotherapy and health education,and give antidepressant medicine to patients through following the doctor’s advice,in order to improve the depressive symptom and control urine sugar level of diabetes.