CAJ | 학술논문

目的：探讨认知训练对社区2型糖尿病（T2DM)合并轻度认知功能障碍（MCI)患者认知功能的影响。方法：选取2014年7月至2015年1月长沙市某两个社区的T2DM合并MCI患者，对照组（40例）接受社区常规护理，实验组（39例)在此基础上进行认知训练。分别于干预前、干预3个月末以及随访3个月末使用蒙特利尔认知评估量表（MoCA)北京版和简易智能状态检查量表（MMSE)评估两组患者的认知功能。结果：两组患者MoCA北京版、MMSE得分的干预主效应、时间主效应、干预与时间交互效应间差异有统计学意义（P<0.05）；干预3个月末及随访3个月末实验组和对照组MoCA北京版、MMSE得分间差异有统计学意义（P<0.05）。实验组干预3个月末及随访3个月末MoCA北京版、MMSE得分较干预前升高（P<0.05）。干预后，实验组MoCA北京版量表的视空间执行功能、抽象思维、延迟记忆领域的评分高于对照组（P<0.05）。结论：认知训练可有效改善社区T2DM合并轻度MCI患者的认知功能，值得在社区推广应用。
목적：탐토인지훈련대사구2형당뇨병（T2DM)합병경도인지공능장애（MCI)환자인지공능적영향。방법：선취2014년7월지2015년1월장사시모량개사구적T2DM합병MCI환자，대조조（40례）접수사구상규호리，실험조（39례)재차기출상진행인지훈련。분별우간예전、간예3개월말이급수방3개월말사용몽특리이인지평고량표（MoCA)북경판화간역지능상태검사량표（MMSE)평고량조환자적인지공능。결과：량조환자MoCA북경판、MMSE득분적간예주효응、시간주효응、간예여시간교호효응간차이유통계학의의（P<0.05）；간예3개월말급수방3개월말실험조화대조조MoCA북경판、MMSE득분간차이유통계학의의（P<0.05）。실험조간예3개월말급수방3개월말MoCA북경판、MMSE득분교간예전승고（P<0.05）。간예후，실험조MoCA북경판량표적시공간집행공능、추상사유、연지기억영역적평분고우대조조（P<0.05）。결론：인지훈련가유효개선사구T2DM합병경도MCI환자적인지공능，치득재사구추엄응용。
Objective: To explore the effects of cognitive training on type 2 Diabetes Mellitus (T2DM) with Mild Cognitive Impairment (MCI) in community. Methods: The T2DM patients with MCI from two communities in Changsha city were selected as study subjects from July, 2014 to January, 2015, they were randomly divided into experimental group (39 cases) and control group (40 cases). The cases in control group received routine care of the community, while the cases in experimental group got 3-month cognitive training combined with routine care of the community. Cognitive functions of the two groups were evaluated prior to intervention, after intervention and after 3-month follow-up using Montreal Cognitive Assessment (MoCA) Beijing version and Mini Mental State Examination (MMSE). Results: There were signiifcant differences in the main effects of intervention, the main effects of time and interaction between intervention and time on scores of MoCA Beijing version and MMSE between two groups, respectively (P<0.05). There was no signiifcant difference in scores of MoCA Beijing version and MMSE between experimental group and control group before intervention (P>0.05). There were signiifcant differences in scores of MoCA Beijing version and MMSE between experimental group and control group after intervention and 3-month follow-up (P<0.05). In experimental group, the scores of MoCA Beijing version and MMSE after intervention and follow-up were signiifcantly higher than those before intervention, respectively (P<0.05). The scores of visuospatial abilities, abstraction and delayed memory of MoCA in the experimental group were statistically higher than control group after intervention (P<0.05). Conclusion: Cognitive training could signiifcantly improve cognitive functions of T2DM patients with MCI in community.