中文版蒙特利尔认知评估量表和简易精神状态量表对老年帕金森病患者认知功能的评估

发布时间：2018-11-21 12:33

【摘要】：目的研究中文版蒙特利尔认知评估量表(Mo CA)和简易精神状态量表(MMSE)在判定帕金森病患者认知障碍中的作用。方法帕金森病认知功能损害患者(PD-MCI)27例,年龄教育程度匹配的对照组31例,分别进行简易精神状态量表(MMSE)、Mo CA量表检测,分析比较两量表的敏感性、特异性和各量表的子项得分。结果根据两组的教育背景,以26分为界值,Mo CA、MMSE对PD-MCI诊断的敏感性分别为:70.37%、14.81%;特异性分别为:83.87%和93.55%。Mo CA对PD-MCI的敏感性高于MMSE。PD-MCI组在MMSE测试中,仅有两个子项目(计算力及注意力、延迟回忆)得分明显低于对照组,而在Mo CA测试中PD-MCI组在视空间与执行功能、延迟回忆、语言功能、抽象能力方面得分明显低于对照组。结论 MMSE不适于PD-MCI患者的筛查。Mo CA在对PD认知功能判定方面优于MMSE,尤其是执行功能及视空间方面。
[Abstract]:Objective to study the role of Chinese Montreal Cognitive Assessment scale (Mo CA) and Mini-Mental State scale (MMSE) in the diagnosis of cognitive impairment in patients with Parkinson's disease (PD). Methods Twenty-seven patients with cognitive impairment of Parkinson's disease (PD-MCI) and 31 age-educated matched controls were assessed with the mini-mental state scale (MMSE), Mo CA), and the sensitivity of the two scales was analyzed and compared. Specificity and subitems of each scale. Results according to the educational background of the two groups, there were 26 cutoff values. The sensitivity of Mo CA,MMSE to PD-MCI diagnosis was 70.37 and 14.81, respectively. The specificity of 83.87% and 93.55%.Mo CA to PD-MCI was higher than that of MMSE.PD-MCI group in MMSE test, only two subitems (computational power and attention, delayed recall) scores were significantly lower than those in control group. In Mo CA test, the scores of visual space and executive function, delayed recall, language function and abstract ability in PD-MCI group were significantly lower than those in control group. Conclusion MMSE is not suitable for. Mo CA screening in PD-MCI patients. It is superior to MMSE, especially in executive function and visual space, in judging the cognitive function of PD.
【作者单位】：北京军区总医院干部病房三科;
【分类号】：R742.5

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