阿尔茨海默病与2型糖尿病关系的调查分析

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Abstract Objective To study the correlation between Alzheimer’s disease (AD) and type two diabetes mellitus (T2DM). Methods One hundred and fifty senile patients with AD first hospitalized in Department of Internal Neurology of Jinqiu Hospital of Liaoning Province from 2017 to 2020 were selected. According to whether combined with T2DM and the course of disease, they were divided into 84 cases in non-T2DM group, 29 cases in T2DM less than or equal to five years group and 37 cases in T2DM more than five years group. The basic data and cognitive function scores of each group were observed. The patients with AD complicated with T2DM were divided into 43 cases in group A and 23 cases in group B according to whether to control blood glucose or not, the course of AD and the score of cognitive function were observed. The effects of the course of T2DM and the level of fasting blood glucose (FBG) on the course of AD and cognitive function were analyzed. Results Body mass index, incidence of stroke, FBG and course of AD in non-T2DM group, T2DM less than or equal to five years group, and T2DM more than five years group were compared, and the differences were statistically significant (P ＜ 0.05). Mini-mental state scale (MMSE), activity of daily living scale (ADL) and AD pathological behavior scale (BEHAVE-AD) scores in non-T2DM group, T2DM less than or equal to five years group, and T2DM more than five years group were compared, the differences were statistically significant (P ＜ 0.05). Compared with group A, the course of AD in group B was prolonged, FBG levels and glycosylated hemoglobin increased, MMSE score decreased, Alzheimer’s disease assessment scale-congnitive score, BEHAVE-AD score, and ADL score increased, and the differences were statistically significant (P ＜ 0.05). The course of T2DM and FBG level were influencing factors of the course of AD, MMSE score, BEHAVE-AD, and ADL score (P ＜ 0.05). Conclusion Patients with AD complicated with T2DM have a long course of AD and a significant decline in cognitive function. Long course T2DM and hyperglycemia can promote the progress of AD. Therefore, if T2DM is found early in AD patients, blood glucose should be controlled in time, which may delay the progress of AD.

Key words： Alzheimer’s disease Type two diabetes mellitus Cognitive function Blood glucose Course of disease

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	ZHANG Shuyan SUN Shuning

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ZHANG Shuyan SUN Shuning. Research analysis of the correlation between Alzheimer’s disease and type two diabetes mellitus[J]. 中国医药导报, 2022, 19(20): 53-57.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I20/53

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