CAJ | 학술논문

目的：明确认知功能障碍对老年2型糖尿病患者生命质量的影响。方法对老年2型糖尿病患者112例进行简短精神状态量表（ MMSE）及SF-36量表测定，分为2型糖尿病合并认知功能障碍组50例（观察组）和2型糖尿病不合并认知功能障碍组62例（对照组），比较2组生化指标及SF-36量表评分的变化。结果观察组与对照组HbA1c、TC、TG、HDL-C、LDL-C、HoMA-IR等生化指标比较差异无统计学意义（ P ＞0照．05），而观察组的生理功能、生理机能、躯体疼痛、总体健康、活力、社会功能、情感职能和心理健康等8个维度得分均较对照组明显降低（P ＜0．01）。结论老年2型糖尿病合并认知功能障碍患者的生命质量降低，临床工作中应重视老年2型糖尿病患者的认知功能，采取相应措施，减少认知功能障碍的发生。
목적：명학인지공능장애대노년2형당뇨병환자생명질량적영향。방법대노년2형당뇨병환자112례진행간단정신상태량표（ MMSE）급SF-36량표측정，분위2형당뇨병합병인지공능장애조50례（관찰조）화2형당뇨병불합병인지공능장애조62례（대조조），비교2조생화지표급SF-36량표평분적변화。결과관찰조여대조조HbA1c、TC、TG、HDL-C、LDL-C、HoMA-IR등생화지표비교차이무통계학의의（ P ＞0조．05），이관찰조적생리공능、생리궤능、구체동통、총체건강、활력、사회공능、정감직능화심리건강등8개유도득분균교대조조명현강저（P ＜0．01）。결론노년2형당뇨병합병인지공능장애환자적생명질량강저，림상공작중응중시노년2형당뇨병환자적인지공능，채취상응조시，감소인지공능장애적발생。
Objective To investgate the influence of cognitive impairment on quality of life in elderly patients with type 2 diabetes mellitus .Methods A total of 112 elderly patients with type 2 diabetes mellitus were screened with MMSE and SF-36, there were 50 patients in the hypertension with cognitive impairment group (case group) and 62 patients in the hy-pertension without cognitive impairment group ( control group ) , and SF-36 score was compared between the above two groups . Results The physical functioning, role-physical, bodily pain, social functioning, mental health, role-emotional, vitality and general health in case group were significantly lower than those of control group ( P <0.01).Conclusion The quality of life of the type 2 diabetes mellitus elderly patients with cognitive impairment is worse .We should pay attention to cognitive impair-ment and conduct psychological regulation in order to decrease the cognitive impairment of type 2 diabetes mellitus in the elde rly people.