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老年糖尿病微血管病变患者认知功能改变的研究及护理

摘要

目的 比较有无糖尿病性微血管并发症的2型糖尿病患者的认知功能,为临床护理提供指导.方法 用总体认知功能、词语学习、词语记忆、词语再认、视觉记忆、思维判断、空间技能、词语流畅、加工速度、空间执行功能对20例伴有糖尿病微血管并发症的2型糖尿病患者及23例不伴有糖尿病微血管并发症的2型糖尿病患者的认知功能进行评定.结果 糖尿病合并微血管并发症患者的MMSE成绩(26.0±3.7)分,思维判断能力(7.1±1.3)分,均低于不伴有糖尿病微血管并发症的2型糖尿病患者(P<0.05);其余认知功能成绩组间差异无统计学意义(P>0.05).结论 2型糖尿病合并微血管并发症患者存在认知功能减退,须尽早实施护理干预.%Objective To compare the cognitive function of type 2 diabetic cases with diabetic microangiopathy and that of type 2 diabetic cases without diabetic micro- angiopathy, to provide evidence for clinical instruction. Methods There were 20 type 2 diabetic cases with diabetic micro-angiopathy and 23 type 2 diabetic cases without diabetic micro-angiopathy. The cognitive function were evaluated by the scores of MMSE, vocabulary learning, vocabulary memory, vocabulary recognition, visual memory, thought judgment, spatial skill, verbal fluency, construction speed and spatial executive function. Results The scores of MMSE and thought judgment ability in type 2 diabetic cases with diabetic micro-angiopathy were significantly lower than that in normal control group(P < 0. 05). Conclusions There was cognitive functions impair in type 2 diabetic cases with diabetic micro-angiopathy group, The corresponsive nursing strategy must be carried out.

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