强化认知训练对改善2型糖尿病患者认知功能的影响  

Effect of Intensive Cognitive Training on Cognitive Dysfunction in Patients with Type 2 Diabetes

作　　者：秦宇丞 QIN Yucheng(School of Medicine,Nantong University,Nantong,Jiangsu 226001,China;Department of Endocrinology,Nantong University Affiliated Second Hospital/Nantong First People’s Hospital,Nantong,Jiangsu 226001,China)

机构地区：[1]南通大学医学院,江苏南通226001 [2]南通大学附属第二医院/南通市第一人民医院内分泌科,江苏南通226001

出　　处：《中国医药指南》2025年第5期175-177,共3页Guide of China Medicine

摘　　要：目的分析对2型糖尿病患者实施强化认知训练改善认知功能的临床效果。方法选取南通大学附属第二医院/南通市第一人民医院2023年5月至2024年5月内分泌科就诊的60例2型糖尿病患者,以随机数字表法分为对照组、观察组,各30例。对照组实施常规治疗,观察组实施强化认知训练。收集分析血糖、认知功能、精神状况、生活质量、负性情绪情况。结果与对照组相比,观察组治疗后的MoCA评分在注意力、抽象能力、记忆力及视空间执行能力方面更高(均P<0.05)。观察组治疗后的SAS评分、SDS评分更低(均P<0.05)。观察组治疗后的SF-36评分在角色功能、情绪功能、认知功能、社会功能及躯体功能方面均更高(P<0.05);观察组治疗后的FPG及2 h PG更低(P<0.05)。结论强化认知训练可以有效促进2型糖尿病患者认知功能改善,促进血糖水平改善,缓解负性情绪,促进生活质量提升,改善预后促进恢复。Objective To analyze the clinical effect of intensive cognitive training on type 2 diabetes patients.Methods A total of 60 patients with type 2 diabetes mellitus who visited the Department of Endocrinology at the Second Affiliated Hospital of Nantong University/Nantong First People’s Hospital from May 2023 to May 2024 were selected and divided into a control group and an observation group,with 30 cases in each group using the random number table method.The control group received routine treatment,while the observation group underwent intensive cognitive training.Data on blood glucose levels,cognitive function,mental status,quality of life,and negative emotions were collected and analyzed.Results Compared with the control group,the MoCA scores of the trial group in attention,abstract ability,memory,and visuospatial executive function were higher after treatment(all P<0.05).The SAS and SDS scores of the trial group were lower after treatment(both P<0.05).The SF-36 scores of the trial group in role function,emotional function,cognitive function,social function,and physical function were higher after treatment(P<0.05);The FPG and 2 h PG of the trial group were lower after treatment(P<0.05).Conclusions Intensive cognitive training can effectively improve the cognitive function of patients with type 2 diabetes,promote the improvement of blood sugar level,alleviate negative emotions,promote the improvement of quality of life,improve the prognosis and promote recovery,which has high application value.

关 键 词：2型糖尿病 认知功能 强化认知训练 康复治疗 

分 类 号：R587.1[医药卫生—内分泌] R473.5[医药卫生—内科学]