老年2型糖尿病患者认知损害特点及影响因素

发布时间：2018-05-10 11:36

本文选题：型糖尿病 + 认知损害　；参考：《中国老年学杂志》2017年20期

【摘要】：目的探讨老年2型糖尿病(T2DM)患者认知损害特点及影响因素。方法采用蒙特利尔认知评估量表(MOCA)、日常生活能力量表和总体衰退量表对住院治疗的176例老年T2DM患者进行评测。结果 86.36%的老年T2DM患者延迟记忆受损,75.57%视空间/执行功能受损;69.89%抽象功能受损;36.36%注意功能受损;35.23%语言功能受损;15.34%定向功能受损。单个认知域受损率为14.20%,2个13.64%,3个28.41%,4个19.32%,5个13.64%,6个7.95%。单因素分析显示年龄、性别、文化程度、家庭月收入、饮酒、糖化血红蛋白(Hb A1c)和低血糖史有统计学意义;多因素Logistic回归显示年龄、文化程度、Hb A1c是认知损害的影响因素(P0.05)。结论老年T2DM患者表现以延迟记忆、视空间/执行功能、抽象功能等为主的多认知域联合受损。医务人员应关注糖尿病老年人群的认知损害,采取多种措施延缓认知功能减退。
[Abstract]:Objective to investigate the cognitive impairment characteristics and influencing factors of elderly type 2 diabetes mellitus T 2 DM. Methods the Montreal Cognitive Assessment scale (MOCA), the activity of Daily living scale (ADL) and the General decline scale (GTS) were used to evaluate 176 elderly patients with T2DM. Results in 86.36% of the elderly patients with T2DM, 75.57% of them were impaired in visual space / executive function, 69.89% in abstract function, 36.36% in attention function and 35.23% in language function and 15.34% in directional function. The damage rate of single cognitive domain was 14.20, two 13.64, three 28.41, four 19.32, five 13.64 and six 7.95. Univariate analysis showed that age, sex, education level, family monthly income, alcohol consumption, HbA1c) and history of hypoglycemia were statistically significant, and age, education level and HbA1c were the influencing factors of cognitive impairment by multivariate Logistic regression analysis. Conclusion in elderly patients with T2DM, delayed memory, visual space / executive function and abstract function are the main manifestations of multiple cognitive domain joint impairment. Medical staff should pay attention to the cognitive impairment of the elderly diabetic population and take various measures to delay cognitive impairment.
【作者单位】：安徽医科大学护理学院;安徽医科大学第一附属医院内分泌科;安徽省护理学国际联合研究中心;
【基金】：安徽省教育厅自然科学基金项目(No.2016AT200112)
【分类号】：R587.1

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