蒙特利尔认知评估量表的条目分析

发布时间：2018-03-31 08:44

  本文选题：体格检查　切入点：认知　出处：《中华老年心脑血管病杂志》2014年04期

【摘要】：目的研究蒙特利尔认知评估量表(MoCA)各条目在正常体检人群中的分布特征,为北京版MoCA量表的应用及修改提供基础资料。方法选取我院干部门诊1350例体检人群为对象,其中自愿接受MoCA检查的857例,排除既往被诊断为不同类型认知障碍的80例,最后入组777例,均为男性,分为5组,其中65岁组175例,65~69岁组200例,70~74岁组145例,75~79岁组124例,≥80岁组133例。采用北京版MoCA量表对受检人员进行认知功能评测,对MoCA中的视空间与执行功能、命名、计算力与注意力、语言、抽象、延迟回忆、定向力各分项目的得分以"≤1/2项目分"和"≤项目平均分"为筛选条件进行比较。结果与65岁组、65~69岁组、70~74岁组比较,75~79岁组、≥80岁组MoCA平均得分明显降低(P0.05,P0.01)。777例患者中,MoCA平均得分为(26.83±2.58)分。分别以"≤1/2项目分"和"≤项目平均分"为筛选条件,低于筛选标准的患者占体检人群的百分比在MoCA的子条目比较,差异有统计学意义(P0.05)。2种筛选条件下,低于筛选标准患者占体检人群的百分比在10%以上的项目分别为"连线"、"复制立方体"、"复述1"、"1min动物数"、"抽象2"及"延迟回忆各项",以"≤项目平均分"为筛选条件时,"画钟"和"100连续减7正确数"亦在10%以上。结论在正常体检人群中,MoCA各分项失分情况不尽相同,部分项目可能需要进一步修改以更好地应用于认知功能筛查。
[Abstract]:Objective to study the distribution of the items of Montreal Cognitive Assessment scale (MOCA) in the normal population, and to provide basic data for the application and revision of the Beijing version of the MoCA scale. Methods 1350 outpatients of our hospital were selected as subjects. Among them, 857 cases were voluntarily examined by MoCA, 80 cases were excluded from the previous diagnosis of different types of cognitive impairment, and the last 777 cases, all male, were divided into 5 groups. Among them, 175 cases in 65 years old group, 200 cases in 70 74-year-old group, 145 cases in 75 79-year-old group, 124 cases in 75 ~ 79 years old group, there were 175 cases in 65 years old group. The cognitive function of the subjects was evaluated with the Beijing version of MoCA scale. The visual space and executive function, naming, computational power and attention, language, abstraction, delayed recall in MoCA were evaluated. The scores of each subitem of orientation force were compared with that of "鈮，

本文编号：1689991