中国医科大学学报2012，Vol.41Issue(8)：750-752,3.
比较简易精神状态量表与蒙特利尔认知评估量表在腔隙性脑梗死认知障碍患者中的应用价值
Comparison of the Application Value of Mini-mental State Examination and Montreal Cognitive Assessment in Lacunar Infarction Patients with Cognitive Impairment
肖桂荣 1孙新芳 1章燕幸 1赵宏军 1桂小红1
作者信息
- 1. 浙江省绍兴市人民医院神经内科,浙江绍兴312000
- 折叠
摘要
Abstract
Objective To compare the application value of mini-mental state examination (MMSE) and Montreal cognitive assessment (MoCA) in detecting cognitive impairment in lacunar infarction (LI) patients. Methods The LI patients were first screened by MMSE,and those having a normal education-adjusted score were further assessed by MoCA (26 as the cut-off score). The patients with MoCA score less than 26 were selected into cognitive impaired Ii-CI group and the patients with more than 26 were classified as normal control LJ-NC group. Fifty healthy individuals were recruited in the healthy control group (NC group). The total score and the score of each cognitive field of MoCA among three groups was compared and analyzed. Results 53% (50/94) LI patients with normal MMSE had MoCA < 26. There was a statistical significant difference (P < 0.01) of the cognitive function between these cases and patients with MoCA = 26. The MoCA score of LI-CI group was less than li-NC group in visuospatial, executive, naming, delayed recall, abstraction and so on. The differences were statistical significant (P < 0.05). Conclusion The cognitive impairment of those patients with normal MMSE score but abnormal MoCA score were mainly in visuospatial, executive, naming, delayed recall, abstraction and so on. MoCA is more sensitive than MMSE in cognitive impairment screening in LI patients.关键词
腔隙性脑梗死/认知障碍/蒙特利尔认知评估量表Key words
lacunar infarction/ cognitive impairment/ Montreal cognitive assessment分类
医药卫生引用本文复制引用
肖桂荣,孙新芳,章燕幸,赵宏军,桂小红..比较简易精神状态量表与蒙特利尔认知评估量表在腔隙性脑梗死认知障碍患者中的应用价值[J].中国医科大学学报,2012,41(8):750-752,3.
