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目的分析探讨老年糖尿病患者轻度认知功能减退的可能影响因素,为临床预防和治疗提供参考。方法以海口市人民医院海港分院内科近期就诊的老年2型糖尿病患者为调查对象,使用蒙特利尔认知量表筛选出轻度认知损害患者60例为观察组。选取无认知损害的老年糖尿病患者60例为对照组。比较两组患者年龄、性别、生活情况、病史及家族史等一般情况和实验室检查结果。结果观察组吸烟和饮酒分别为45例和44例。对照组分别为21例和17例,差异有统计学意义(P<0.05),ALT观察组为(21.4±5.6)μ/L,对照组为(29.0±9.2)μ/L,差异有统计学意义(P<0.05)。年龄、受教育程度及病程对患者认知能力存在明显影响。结论生活习性、病史及家族史对老年糖尿病患者的认知功能有明显损害,应在临床工作中加以重视。
Objective To analyze the possible influencing factors of mild cognitive impairment in elderly diabetic patients and provide reference for clinical prevention and treatment. Methods A case-control study was conducted in elderly patients with type 2 diabetes mellitus recently treated in Haikou People’s Hospital Harbor Branch. Sixty patients with mild cognitive impairment were screened out using the Montreal Cognitive Assessment Scale as the observation group. Sixty elderly diabetic patients without cognitive impairment were selected as the control group. The general conditions such as age, gender, life condition, medical history, family history and laboratory test results were compared between the two groups. Results The observation group smoking and drinking were 45 cases and 44 cases. The control group was 21 cases and 17 cases, the difference was statistically significant (P <0.05), the ALT observation group was (21.4 ± 5.6) μ / L, the control group was (29.0 ± 9.2) μ / L, the difference was statistically Significance (P <0.05). Age, education level and course of disease have obvious influence on patients’ cognitive ability. Conclusion Living habits, history and family history of cognitive impairment in elderly patients with diabetes significantly damage should be taken in clinical work.