Literature And Clinical Studies On Non-pharmacological Therapy For Diabetes With Cognitive Dysfunction

Diabetes is a common clinical metabolic disease characterized by chronic hyperglycemia.The incidence of diabetes in China has been increasing year by year,according to Professor Wang Linhong of the Chinese Center for Disease Control and Prevention Center and Professor Hu Yonghua of the Peking University School of Public Health in 2017.The latest epidemiological data on diabetes and prediabetes published by the Journal of the American Medical Association(JAMA).The data show that in 2013,the prevalence of diabetes in adults in China was 10.9%,and the pre-diabetic prevalence was 35.7%.The study also showed that only 36.5%of all diabetics were known to have their own illnesses.Diabetes mellitus and its related complications,such as cognitive impairment,diabetic heart disease,and diabetic foot,seriously affect the quality of life and life span of diabetic patients.This study is based on ancient Chinese medical literature and modern literature research to explore the feasibility of non-drug therapy intervention program for diabetes with cognitive impairment,and based on the previous study of the team to evaluate the choice of non-drug therapy intervention through clinical intervention research.The program is applied to the effectiveness of diabetes with mild cognitive impairment.Method:literature ResearchThe "Chinese Medical Dictionary" is the object of screening ancient Chinese medical books.The theory of "medicine and food homology" is used as a guide to comb diets that can be used to treat diabetes and cognitive dysfunction.Based on the literature of non-drug therapy for diabetes mellitus with cognitive impairment mentioned in China Knowledge Network(1979-2018)and Wanfang Data Knowledge Service Platform(1990-2018),we screened for non-drug treatment for diabetes.Literatures with cognitive impairments were classified and analyzed by Excel spreadsheets.Clinical researchFrom December 2016 to December 2017,30 patients were recruited through the voluntary enrollment conditions at the Guangnei Community and Mentougou Community Health Service Center in Beijing,and non-drug therapies were administered to the patients.The intervention time is 1 year.Non-pharmacological therapies include:health lectures,Ba Duan Jin exercises,health education manuals and follow-up manuals,and monthly follow-ups.The patient’s blood pressure,blood glucose,and blood lipids are recorded.Before and after the completion of the group,the deaf patients fill in the cognitive ability related scale and the TCM syndrome survey form,and compare the changes of related indicators before and after the entry into the group to observe the effect of the non-drug therapy intervention program on patients with mild cognitive impairment..The spss 21.0 statistical software was used to make a descriptive analysis of the patient’s general conditions,laboratory tests,and TCM syndromes.Result:literature Research1.Research findings of ancient Chinese medical literature:Under the guidance of the theory of "medicine and food homology",TCM diet therapy is feasible for the treatment of diabetes with cognitive impairment.2.The modern literature study found that the choice of non-pharmacological therapy interventions is mainly based on comprehensive nursing interventions and health management,in which comprehensive nursing interventions are mainly based on psychological care,and in the selection of non-drug therapy program,the discovery delay The time of care is the follow-up of the health guide,and it can effectively cognize the cognitive ability of patients with diabetes with cognitive impairment.Among them,non-drug therapy interventions for electroacupuncture,hyperbaric oxygen therapy,and transcranial direct current stimulation for comprehensive rehabilitation therapy have shown that patients’ cognitive ability can be improved.Clinical research1.General:20 of the 30 patients included were from Mentougou community and 10 from Guangchi community.The ratio of male to female was 1:1.5.The average age of patients was 67.60±8.31 years and the average course of disease was 10.07±2.83 years.Education accounted for 23.3%,junior high school education accounted for 33.3%,high school education 33.3%,university education 10.0%.The complications of the patients were as follows:6 cases(20%)of a complication,14 cases(46.7%)of 2 complications,and 10 cases(33.3%)of 3 or more complications.2.Symptoms of TCM:A questionnaire survey of TCM symptoms in patients with diabetes and mild cognitive impairment found that the percentage of symptoms exceeding 70%was blurred vision,thirst,excessive drinking,dizziness,fatigue,shortness of breath,palpitations,and five upset fevers.,Cold aversion to coldness,tinnitus,diminished intelligence,good fortunes,these 11 TCM symptoms all improved significantly after a one-year non-drug therapy intervention,and the symptom scores had significant changes before and after treatment(P<0.05).)3.Laboratory examination:30 patients with diabetes mellitus with mild cognitive impairment,before and after receiving non-drug therapy intervention program,FBG,PBG,HbA1c decreased compared with before,with statistical significance(P<0.01).TG decreased before intervention,and BP also decreased.(P<0.05).The TC value was lower than before the intervention,but because the difference was not significant,it was not statistically significant.(P>0.05)ConclusionNon-pharmaceutical therapeutic interventions such as Ba Duan Jin practice,dietary guidance,seasonal health,etc.can be used for the clinical intervention of patients with diabetes with cognitive impairment,can improve the patient’s relevant clinical symptoms,improve the cognitive function of patients,but need to carry out standardized research Form a standardized treatment plan.