关注糖尿病患者的认知功能障碍

发布时间：2018-12-11 03:28

【摘要】：糖尿病引发的认知功能障碍由于其临床表现多样且无特异性常被临床忽视,目前尚无诊断的金标准,容易引起漏诊、误诊。认识并加强糖尿病认知功能障碍的相关研究,对改善糖尿病患者的生活质量有重要意义。糖尿病与认知功能障碍关系密切且机制复杂。糖尿病伴认知功能障碍患者学习记忆能力下降,理解判断等能力受影响,严重者生活不能自理影响其生活质量;认知功能障碍可使糖尿病患者治疗的依从性变差,容易发生严重低血糖、高血糖等糖尿病急性并发症,而严重低血糖又可加剧认知功能障碍,两者互相影响形成恶性循环。选择合适的神经心理学评估工具早期筛查非常重要。对于糖尿病认知功能障碍,"防"重于"治"。对糖尿病患者进行有效的综合管理可能有助于预防认知功能障碍的发生和进展。
[Abstract]:The cognitive dysfunction caused by diabetes mellitus is often ignored because of its various clinical manifestations and no specificity. There is no diagnostic standard at present, which can easily lead to missed diagnosis and misdiagnosis. Understanding and strengthening the related research of diabetes cognitive dysfunction is of great significance to improve the quality of life of diabetic patients. Diabetes mellitus is closely related to cognitive dysfunction and complex mechanism. The ability of learning and memory was decreased, the ability of understanding and judgment was affected by diabetes mellitus patients with cognitive dysfunction, and the quality of life was affected by the fact that the serious patients could not take care of themselves. Cognitive dysfunction can make diabetic patients' compliance become worse, and they are prone to severe hypoglycemia, hyperglycemia and other acute complications of diabetes mellitus, while severe hypoglycemia can aggravate cognitive dysfunction, and the two influence each other to form a vicious circle. It is important to select appropriate neuropsychological assessment tools for early screening. For diabetes cognitive impairment, prevention is more important than cure. Effective comprehensive management of diabetes may help prevent the occurrence and progression of cognitive impairment.
【作者单位】：安徽医科大学第一附属医院内分泌科;
【分类号】：R587.1

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