儿童I型糖尿病的认知功能
Basma Adel Ibrahim1, Sawsan Ali Hussein1, Wasnaa Hadi Abdullah1
1AL-MUSTANSIRIYAH UNIVERSITY, BAGHDAD, IRAQ.
概括
与健康同龄人相比,患有1型糖尿病的儿童表现出认知功能受损和心理社会困难. 低血糖控制,包括高血糖和低血糖,显著影响他们的认知和心理健康.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 神经科学是一个神经科学.
- 临床心理学 临床心理学
背景情况:
- 1型糖尿病 (T1D) 是一种慢性疾病,影响着全世界的儿童.
- 认知功能和心理社会福祉对于发展和生活质量至关重要.
- 了解T1D对这些领域的影响对于综合护理至关重要.
研究的目的:
- 评估T1D儿童的认知障碍模式和严重程度.
- 调查认知功能与疾病特征 (如发病和血糖控制) 之间的关联.
- 评估T1D儿童的心理社会功能.
主要方法:
- 一个病例控制研究,涉及60名T1D儿童和60名年龄相匹配的对照.
- 使用修改微型精神状态 (MMMSE) 检查评估的认知功能.
- 使用儿科症状检查清单 (PSC) 选的心理社会功能.
- 分析与年龄,性别,社会经济地位,疾病发作,持续时间,HbA1c以及酸性脂肪酸症/低血糖病史相关联的认知和心理社会分数.
主要成果:
- 与对照组相比,患有T1D的儿童的M记忆 (MMMSE) 评分明显较低 (25.12±4.58与30.08±2.95).
- 患有T1D的患者的PSC得分明显较低,表明心理社会功能较差 (39.08±8.18对54.42±6.0).
- 高血糖和低血糖都与认知和心理健康受损有关.
结论:
- 与非糖尿病同龄人相比,患有T1D的儿童经历神经认知障碍.
- 血糖控制不良,包括高血糖和低血糖,会对糖尿病儿童的认知功能和心理健康产生负面影响.
- 对患有T1D的儿童来说,早期发现和管理认知和心理社会问题至关重要.
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