焦虑对老年DMCI患者认知功能和颈动脉内膜-中层厚度的影响 |
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引用本文: | 张翠,王爱辉,罗凡,林占东,郭瑞芳. 焦虑对老年DMCI患者认知功能和颈动脉内膜-中层厚度的影响[J]. 承德医学院学报, 2016, 33(2) |
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作者姓名: | 张翠 王爱辉 罗凡 林占东 郭瑞芳 |
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作者单位: | 承德医学院,河北承德,067000;承德医学院附属医院 |
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摘 要: | 目的::探讨焦虑对老年2型糖尿病合并脑梗死(DMCI)患者认知功能和颈动脉内膜-中层厚度(IMT)的影响。方法:100例老年DMCI患者根据是否存在焦虑分为观察组62例(合并焦虑)和对照组38例(不合并焦虑)。采用蒙特利尔认知评估量表(MoCA)评价两组患者的认知功能,颈动脉超声检查测量IMT。结果:观察组患者IMT显著高于对照组、MoCA评分显著低于对照组(P<0.01)。观察组患者焦虑评分与MoCA评分呈负相关、与IMT呈正相关(P<0.01),MoCA评分与IMT呈负相关(P<0.01)。结论:合并焦虑可加重DMCI患者的认知功能障碍及颈动脉粥样硬化程度,导致患者生活质量下降。
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关 键 词: | 焦虑 糖尿病 脑梗死 认知功能障碍 |
EFFECTS OF ANXIETY ON COGNITIVE FUNCTION AND INTEIMA-MEDIA THICKNESS OF ELDERLY DMCI PATIENTS |
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Abstract: | [ABSTRACT]Objective:To investigate the effects of anxiety on cognitive function and intima-media thickness (IMT) of elderly patients with type 2 diabetes complicated with cerebral infarction (DMCI). Methods:100 elderly DMCI patients were divided into observation group (n=62, with anxiety) and control group (n=38, no anxiety). MoCA scale was used to evaluate the cognitive function of patients, and color ultrasound to measure IMT of common carotid artery. Results:IMT of patients in observation group was obviously higher than patients in control group, but MoCA score was obviously lower (P<0.01). The anxiety score of patients in observation group was negatively correlated with MoCA score, but positively correlated with IMT (P<0.01);And MoCA score was negatively correlated with IMT (P<0.01). Conclusions:Anxiety may aggravate cognitive dysfunction and degree of carotid atherosclerosis, and cause declining of the living quality. |
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Keywords: | Anxiety Diabetes mellitus Cerebral infarction Cognitive dysfunction |
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