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目的探讨早期胰岛素强化治疗辅助心理沟通在新诊断2型糖尿病性心脏病伴抑郁症状患者中应用价值。方法选取2013年11月~2016年8月秦皇岛市青龙满族自治县医院72例新诊断2型糖尿病性心脏病伴抑郁症状患者,随机分为两组,每组36例。对照组采用早期胰岛素强化治疗,研究组采用早期胰岛素强化治疗辅助心理沟通干预,干预3个月。对比治疗前后两组血糖指标[空腹血糖(FPG)、餐后2h血糖(2h PG)]、心肌功能指标[左室收缩末期内径(LVESD)、左心室射血分数(LVEF)]。结果干预后两组FPG、2h PG较干预前降低,且研究组低于对照组,差异有统计学意义(P<0.05)。干预前研究组LVESD、LVEF与对照组间差异无统计学意义(P>0.05),干预后研究组LVESD小于对照组,LVEF大于对照组,差异有统计学意义(P<0.05)。结论采取早期胰岛素强化治疗辅助心理沟通有利于降低新诊断2型糖尿病性心脏病伴抑郁症状患者血糖水平,改善心肌功能。
Objective To investigate the value of early insulin-intensive therapy assisted psychological communication in newly diagnosed type 2 diabetic heart disease patients with depressive symptoms. Methods From November 2013 to August 2016, 72 newly diagnosed type 2 diabetic patients with heart disease accompanied by depressive symptoms in Qinglong Manchu Autonomous County Hospital of Qinhuangdao were randomly divided into two groups (n = 36 in each group). The control group was treated with early intensive insulin therapy. The study group used early intensive insulin therapy to assist psychological communication intervention for 3 months. The levels of fasting blood glucose (FPG), 2h postprandial blood glucose (2h PG)], myocardial function indexes (LVESD, LVEF) were compared between before and after treatment. Results After intervention, FPG and 2h PG in both groups were lower than those in the control group before intervention, and the difference was statistically significant (P <0.05). Before intervention, there was no significant difference between LVESD, LVEF and control group (P> 0.05). After intervention, LVESD in study group was smaller than that in control group, LVEF was greater than that in control group (P <0.05). Conclusion Early adoptive intensive insulin therapy is helpful to reduce the blood sugar level and improve the myocardial function of newly diagnosed type 2 diabetic heart disease patients with depressive symptoms.