中国临床心理学杂志

并发微血管病变的2型糖尿病患者的认知功能研究

单位：1. 复旦大学医学院医学心理学教研室上海 200032
2. 上海市精神卫生中心

分类号：R395.1

出版年,卷(期):页码：2001,9(2):102-104

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。方法：用中国临床记忆量表、中国成人智力量表以及连线测验A对26例伴有糖尿病性微血管并发症的2型糖尿病患者(研究组)、及26例不伴有糖尿病性微血管并发症的2型糖尿病患者(对照组)的认知功能进行评定，对照组在年龄、性别、文化程度等方面与研究组相匹配。结果：研究组的记忆商和图像回忆分及智力测验中的图画找错分显著低于对照组，其他指标与对照组相比，差异无显著性。结论：伴有糖尿病性微血管并发症的2型糖尿病患者的认知功能略差于不伴有糖尿病性微血管并发症的2型糖尿病患者。

Objective: To compare the cognitive function of type 2 diabetic cases with diabetic micro-angiopathy with that of type 2 diabetic cases without diabetic micro-angiopathy. Methods: The cognitive function of 26 type 2 diabetic cases with diabetic micro-angiopathy(Study Group) and 26 type 2 diabetic cases without diabetic micro-angiopathy(Control Group) were evaluated by the Chinese Clinical Memory Scale, Chinese Adult Intelligent Scale and Trail Making A. The two groups were matched in age, sex, educational level and others. Results: The scores of memory quotient and Finding errors in Study Group were significantly lower than those in Control Group The lower score of memory quotient in the Study Group were mostly due to their lower score of Picture Free Recall.Conclusion: The cognitive function of type 2 diabetic cases with diabetic micro-angiopathywere significantly worse than that of type 2 diabetic cases without diabetic micro-angiopathy.

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参考文献：

[1] Strachan MWJ,Ewing FME,Deary IJ,et al.Is type Ⅱ diabetes associated with an increased risk of cognitive dysfunction?Diabetes Care,1997,20(3):438-445
[2] 左玲俊,徐俊冕.糖尿病患者的心理问题.中国行为医学科学,1998,7(3)：155-156
[3] Atiea JA,Moses JL,Sinclair AJ. Neuropsychological function in older subjects with non-insulin-dependent diabetes mellitus. Diabet Med,1995,12:679-685
[4] Mark WJ, Fiona ME,Ian J,et al.Is type Ⅱ diabetes associated with an increased risk of cognitive dysfunction? Diabetes Care,1997,20(3):438-445
[5] 陈灏珠.实用内科学.人民卫生出版社,第10版,1997.847-850
[6] Stewart R,Liolitsa D.Type 2 diabetes mellitus,cognitive impairment and dementia.DiabetMed,1999,16(2):93-112
[7] 中国科学院心理研究所.临床记忆手册,1984
[8] Reitan R.Validity of the trail marking test as an indicator of organic brain damage.Percept Mot Skills,1958,8(2):71-76
[9] 赵介城.中国成人智力量表.1997
[10] 沈稚舟,吴松华,邵福源,等.糖尿病慢性并发症.上海医科大学出版社.1999.24-25
[11] Mccall AL. The impact of diabetes on the CNS.Didbetes,1992,41:557
[12] 马学毅,盛树力,胡景胜,等.糖尿病大鼠认知功能障碍与脑形态学改变关系的研究.中国糖尿病杂志,1999,7(3)：150-153

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