2型糖尿病患者动态平衡障碍特点分析

Analysis of static balance impairment in patients with type 2 diabetes mellitus

目的探讨2型糖尿病(type 2 diabetes mellitus,T2DM)患者动态平衡障碍的特点。方法纳入2013年1月至2015年12月期间,在首都医科大学附属北京同仁医院就诊符合2型糖尿病诊断标准的51例患者为糖尿病组,其中男性27例,女性24例,平均年龄(56. 1±10. 1)岁。同期选择本院健康体检中心43例健康查体者为对照组,其中男性17例,女性26例,平均年龄(54. 4±7. 2)岁,无耳科疾病史,无糖尿病史者。通过Smart-Equi Test动态姿势测试系统评估全部受试者平衡控制能力。结果感觉组织测试(sensory organization test,SOT)评分,糖尿病患者前庭功能分测试评分、本体感觉分测试评分和稳定极限测试(limits of stability test,LOS)评分的结果与对照组比较差异无统计学意义(P> 0. 05)。然而,糖尿病患者的视觉功能分测试评分和运动控制测试(motor control test,MCT)评分低于对照组,差异有统计学意义(P=0. 032和P=0. 018)。结论糖尿病患者平衡障碍以视觉损害和运动控制能力下降为主要特征。

Objective To explore the characteristics of static balance impairment in patients with type 2 diabetes. Methods Fiftyone patients with type 2 diabetes attending the clinic at Beijing Tongren Hospital,Capital Medical University,from January 2013 to December 2015 were recruited[male: 27 persons,female: 24 persons,average age( 56. 1 ± 10. 1) years]. Forty-three cases[male: 17 persons,female: 26 persons),average age( 54. 4 ± 7. 2) years] without the medical or family history of otology diseases and diabetes were set as control. All patients and controls completed Smart-Equi Test. Results There were no significant differences between the two groups; with respect to the balance test results for sensory organization test( SOT) score,somatosensory subtest score,vestibular subtest score,or limits of stability test( LOS) score( P > 0. 05 for all). However,the visual systems and motor control test( MCT) scores were significantly lower in diabetic patients than in control patients( P = 0. 032 and P = 0. 018). Conclusion Visual system impairment and decline in motion control ability may be the main characteristic of static balance impairment in patients with type 2 diabetes.