湖州市老年2型糖尿病患者认知功能损害及其相关因素分析  

Analysis of Cognition Function and Its Influencing Factors of Elderly Patients with Type 2 Diabetes Mellitus

作　　者：陈浙丽[1] 倪琳 沈鑫华[1] 雷礼磊 那万秋[1] 潘新根[1] 陈科[1] 何卫亮[1] Chen Zheli(Huzhou Third People's Hospital,Huzhou,313000)

机构地区：[1]浙江省湖州市第三人民医院 [2]湖州市第一人民医院

出　　处：《医学与社会》2018年第12期62-63,66,共3页Medicine and Society

基　　金：湖州市科技局公益性技术应用研究(一般)项目;编号为2014GY17

摘　　要：目的:探讨老年2型糖尿病(T2DM)患者认知功能损害的情况及分析相关危险因素。方法:应用简易智能精神状态量表(MMSE)、蒙特利尔认知评估量表(MoCA),数字广度测验,连续测验等对193例T2DM患者进行测评,并比较糖尿病患者中认知障碍(MCI)组与非MCI组之间的差异,分析影响糖尿病认知功能的因素。结果:糖尿病组与对照组间除连线测验中的顺背测验无显著差异性外,其他各项量表得分两组间均存在显著性差异(P<0.05),糖尿病患者中MCI组与非MCI组之间年龄和糖尿病病程存在显著性差异(P<0.05)。MMSE和MOCA与年龄、病程都存在不同程度的相关。结论:2型糖尿病对老年患者认知功能有明显损害,并且与年龄和糖尿病病程密切相关。Objective:To discuss the cognition impairment and its risk factors in elderly patients with type 2 diabetes mellitus(T2DM).Methods:The cognition function of 193 patients with T2DM was assessed using the Mini-Mental State Examination(MMSE),the Montreal Cognitive Assessment Scale(MoCA),Digital span test and Trail making test.The difference between the MCI group and the non-MCI group in the diabetic patients was compared.To analyze the influencing factors of cognition function in diabetic patients.Results:There was a significant difference between T2DM and control groups in all the scale scores except for the straight back test in the connection test(P<0.05).There was a significant difference in the age and the course of diabetes between the MCI and the non MCI groups in the diabetic patients(P<0.05).Conclusion:Type 2 diabetes mellitus significantly impairs cognitive function in elderly patients.Ages and diabetes duration are closely related.

关 键 词：2型糖尿病 认知功能 轻度认知障碍 

分 类 号：R395.1[哲学宗教—心理学]