论文部分内容阅读
目的:调查老年2型糖尿病患者抑郁情绪障碍的患病情况,分析与之相关的危险因素。方法:选取200例老年2型糖尿病患者,对其进行一般情况、代谢指标等的检查,就患者的心理状态、影响病情变化的相关精神因素进行问卷调查。采用抑郁自评量表评价受试者的抑郁状态,用Logistic回归模型进行统计分析其抑郁情绪障碍与相关影响因素的关系。结果:200例老年2型糖尿病患者中有79例伴有抑郁情绪障碍,占39.5%。进入抑郁单因素非条件Logistic回归方程的有性别、吸烟史、糖化血红蛋白、眼底病变、家族史、并发症数目、担心无法根治、担心长期依赖胰岛素;多因素分析结果显示糖化血红蛋白、眼底病变和担心长期依赖胰岛素与老年2型糖尿病患者抑郁情绪障碍存在统计学差异。结论:抑郁是老年2型糖尿病患者常见的情绪障碍,糖化血红蛋白、眼底病变、担心长期依赖胰岛素是老年2型糖尿病患者抑郁情绪障碍的独立危险因素。
Objective: To investigate the prevalence of depression in elderly patients with type 2 diabetes mellitus and analyze the risk factors associated with it. Methods: A total of 200 elderly patients with type 2 diabetes mellitus were selected and their general conditions and metabolic parameters were examined. Questionnaires were made on the psychological status of the patients and the related mental factors that affect their changes. Depression self-rating scale assessment of depression subjects, using Logistic regression model for statistical analysis of the relationship between depression and related factors. Results: Of the 200 elderly patients with type 2 diabetes, 79 patients had depressive mood disorders, accounting for 39.5%. There were gender, smoking history, HbA1c, fundus disease, family history and complications in univariate non-conditional logistic regression model, worried about the failure to eradicate long-term dependence on insulin, and multivariate analysis showed that HbA1c, Long-term dependence on insulin and elderly patients with type 2 diabetes mellitus depressive mood disorder there is a statistically significant difference. Conclusions: Depression is a common risk factor for type 2 diabetes mellitus in elderly patients with HbA1c, HbA1c and retinopathy. It is also an independent risk factor for depression in elderly patients with type 2 diabetes mellitus.