糖尿病认知功能障碍的机制及中药干预研究进展

摘要

Diabetic cognitive dysfunction (DCD) is a common chronic complication of diabetes mellitus with sophisticated path-ogenesis which has not yet been fully elucidated. In this review paper, the mechanisms of metabolic abnormalities, insulin re-sistance,endoplasmic reticulum stress,neuronal calcium dysho-meostasis, in ammation, blood brain barrier impairment, and mitochondrial injury associated with DCD are reviewed. In addi-tion,the prevention and treatment of DCD by traditional Chinese medicines (TCMs) and the effective compounds are comprehen-sively summarized, in order to provide an updated overview on the DCD pathogenesis,as well as the scientific evidence under-pinning the use of TCM interventions for the treatment and pre-vention of DCD.%糖尿病认知功能障碍(DCD)是糖尿病患者常见的慢性并发症.DCD的发病机制复杂,尚未完全阐明,其中代谢异常、胰岛素抵抗、内质网应激、神经元钙稳态失衡、炎症反应、血脑屏障损伤、线粒体损伤等均参与其中,共同组成了复杂而相互关联的发病机制.近年来,中药在改善DCD方面取得了较大的进展.该文对DCD的发病机制以及中药在治疗和预防DCD的研究进展予以综述.