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目的观察老年2型糖尿病合并抑郁症患者心理干预和胰岛素治疗血糖达标的情况及成本分析。方法对67例空腹血糖>10mmol/L的老年2型糖尿病患者分成2组,A组37例为严格饮食、运动、心理干预及药物治疗,B组30例为饮食、运动及胰岛素治疗者。分别观察2组治疗后血糖达标时间、达标总成本(C总)、平均每天成本(C平均)。结果2组血糖达标时间、C总、C平均比较A组血糖达标时间明显缩短(P<0.01),C总明显降低(P<0.05),C平均明显降低(P<0.01)。结论对老年糖尿病合并抑郁症患者胰岛素治疗同时心理干预可明显缩短治疗时间并减少治疗费用。
Objective To observe the psychological intervention and insulin treatment of elderly patients with type 2 diabetes mellitus and its cost analysis. Methods Sixty-seven elderly type 2 diabetic patients with fasting blood glucose> 10mmol / L were divided into two groups. Group A (n = 37) was diet, exercise, psychological intervention and medication. Group B included 30 patients with diet, exercise and insulin therapy. Observe the blood glucose of two groups after treatment, the total cost of compliance (C total), the average cost per day (C average). Results The blood glucose up-time, C total and C average in both groups were significantly shorter than those in group A (P <0.01). C was significantly lower (P <0.05) and C was significantly lower (P <0.01). Conclusions Simultaneous psychological intervention of insulin therapy in elderly patients with diabetes mellitus and depression can shorten the treatment time and reduce the cost of treatment.