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目的:了解Ⅱ型糖尿病(NIDDM)对记忆、智能、情绪、个性方面的损害。方法:对30例头颅CT正常,且无神经系统定位体征的NIDDM患者及50例正常对照组采用中国科学院心理研究所编制的临床记忆量表进行记忆检查和评定,采用湖南医学院龚氏修订书氏成人智力量表进行智能检查和评定,采用Zung抑郁自评量表(SDS)进行抑郁评定,采用龚氏修订艾森克个性问卷(EPQ)进行个性检查。结果:NIDDM患者记忆损害较明显,记忆商74.4土20.72,五项分测验和正常对照组相比四项P<0.01。一项P<0.05。有轻微智能损害,总智商92.27土17.13,11项分测验中和正常对照组相比四项P>0.05。三项P<0.05,另四项P<0.01。有抑郁症状者27例,占83.33%,其中轻度抑郁8例,占26.67%,中度抑郁8例,占26.67%,重度抑郁9例,占30%,和正常对照组相比P<0.01。EPQ检查病理性人格P值较正常对照组高,两组相比P<0.05,E分较正常对照组低,两组相比P<0.01。结论:NIDDM患者记忆力减退,学习新事物的能力、语言、思维转换的灵活性、抽象思维的能力较正常人略差。88.33%有抑郁症状,具有心理质量差等病理性人格。
Objectives: To understand the impairment of memory, intelligence, emotion and personality in type 2 diabetes mellitus (NIDDM). Methods: 30 cases of NIDDM patients with normal skull CT and no signs of nervous system localization and 50 normal control subjects were examined by memory test using the clinical memory scale prepared by Institute of Psychology, Chinese Academy of Sciences. ’S adult intelligence scale to carry out intelligent examination and assessment, using Zung depression self-rating scale (SDS) for depression assessment, using Gong’s revised Eysenck personality questionnaire (EPQ) for personality check. Results: The memory impairment in NIDDM patients was more obvious. The memory quotient of 74.4% and 20.72%, four points P <0.01 compared with the normal control group. One P <0.05. There is a slight intellectual damage, total IQ 92.27 soil 17.13,11 sub-test compared with the normal control group compared with four P> 0.05. Three P <0.05, the other four P <0.01. There were 27 cases with depressive symptoms, accounting for 83.33%, of which 8 cases were mild depression (26.67%), moderate depression was 8 cases (26.67%), severe depression was 9 cases (30%), and the normal controls Group compared to P <0.01. EPQ examination of pathological personality P value higher than the normal control group, P <0.05 compared with the two groups, E score lower than the normal control group, P <0.01. Conclusion: NIDDM patients with memory loss, ability to learn new things, language, the flexibility of thinking conversion, the ability of abstract thinking slightly worse than normal. 88.33% had depressive symptoms, with poor psychological quality and other pathological personality.