老年人蒙特利尔认知评估量表记忆指数分临界值研究

发布时间：2018-08-27 17:25

【摘要】：目的研究蒙特利尔认知评估量表记忆指数分(MoCA-MIS)的一般影响因素,分析社区老人的MoCA-MIS临界值。方法对2016年5—11月沈阳城区282名50~80岁、具有一定文化程度的健康老年人完成蒙特利尔认知评估量表(MoCA)、简明精神状态量表(MMSE)、听觉词语学习测验(AVLT)、临床痴呆评定表(CDR)及自行编制的一般情况调查表,统计分析各神经心理量表得分情况,研究社区老人的MOCA-MIS临界值。结果不同性别组老年人MoCA-MIS得分差异无统计学意义(F=0.053,P0.05);不同年龄组老年人MoCA-MIS得分差异有统计学意义(F=1.712,P=0.015,r=-0.13);不同文化程度组老年人MoCA-MIS得分之间差异有统计学意义(F=4.497,P0.001,r=0.314)。MoCA-MIS与AVLT中的长延迟相关(P0.001,r=0.492),与AVLT中短时记忆也相关(P0.001,r=0.412)。不同文化水平组正常老年人MoCA-MIS的划界分分别是:文化水平≤9年,4分;9~12年,6分;12年,7分。结论 MoCA-MIS与文化程度呈显著正相关,与年龄呈负相关,与性别无相关性。MoCA-MIS与AVLT中长延迟回忆及短时记忆均具有显著正相关性。社区老人的MOCA-MIS临界值将为老年人记忆减退检测提供参考数据。
[Abstract]:Objective To study the general influencing factors of the memory index score (MoCA-MIS) of the Montreal Cognitive Assessment Scale (MCA-MIS) and to analyze the critical value of MOCA-MIS for the elderly in the community.Methods 282 healthy elderly people aged 50-80 with a certain degree of education in Shenyang city from May to November 2016 completed the Montreal Cognitive Assessment Scale (MoCA), the Simple Mental Status Scale (MMSE), and the Listening Scale. Results There was no significant difference in MoCA-MIS scores between different gender groups (F=0.053, P 0.05). MoCA-MIS scores of different age groups were obtained. There were significant differences in MoCA-MIS scores among the elderly with different educational levels (F = 4.497, P = 0.001, r = 0.314). MoCA-MIS correlated with long delay in AVLT (P 0.001, r = 0.492), and also correlated with medium and short-term memory in AVLT (P 0.001, r = 0.412). Conclusion MoCA-MIS is positively correlated with educational level, negatively correlated with age, but not with sex. MoCA-MIS is positively correlated with long-term delayed recall and short-term memory in AVLT. The critical value of MOCA-MIS in community elderly will decrease memory in the elderly. Detection provides reference data.
【作者单位】：中国医科大学附属盛京医院神经内科;
【基金】：辽宁省科技厅科学技术计划(2012225021)
【分类号】：R749.1

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