老年2型糖尿病患者认知功能障碍与血清 CRP、UA 水平的关系

Relevant analysis of cognitive dysfunction and serum C-reactive protein and uric acid levels in elderly patients with type 2 diabetes mellitus

  • 摘要: 目的:探讨老年2型糖尿病患者认知功能障碍与血清 C 反应蛋白(CRP)和尿酸(UA)之间的关系。方法受试者分为3组,30例糖尿病认知功能障碍组(A 组),38例糖尿病非认知功能障碍组(B 组),68例健康体检者为对照组。比较3组受试者的血清 CRP、UA 水平及蒙特利尔认知评估量表(MoCA)评分。结果观察 A 组、B 组的血清 CRP、UA 水平均高于对照组,MoCA 评分低于对照组,差异有明显统计学意义(P <0.01);观察 A 组的血清 CRP、UA 水平高于观察 B 组,MoCA 评分低于观察B 组,差异有显著统计学意义(P <0.01)。结论老年2型糖尿病认知功能障碍患者的血清 CRP、UA 水平显著升高,与认知功能的损害程度呈正比,提示这两项指标的测定对预测和判断糖尿病认知功能障碍具有重要临床价值。

     

    Abstract: Objective To explore the relationship of cognitive dysfunction and serum C-re-active protein (CRP)and uric acid (UA)levels in elderly patients with type 2 diabetes mellitus (T2DM).Methods The study objects were divided into T2DM group with cognitive dysfunction (group A,30 cases),T2DM group without cognitive dysfunction (group B,38 cases)and control group (68 healthy people undergoing physical examination).Serum CRP and UA levels as well as Montreal Cognitive Assessment (MoCA)score were compared among 3 groups.Results Groups A and B were evidently higher in serum CRP and UA levels but obviously lower in MoCA score than control group,and the differences were significant (P <0.01).Additionally,group A was marked-ly higher in serum CRP and UA levels but obviously lower in MoCA score than group B (P <0. 01).Conclusion Serum CRP and UA levels increase apparently and are in positive association with cognitive dysfunction of elderly T2MD patients,indicating that the detection of both indexes has important clinical value in predicating and diagnosing cognitive dysfunction of diabetes.

     

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