老年医学与保健2018，Vol.24Issue(2)：133-135,153,4.
洛文斯顿作业疗法认知评定量表在腔隙性脑梗死患者中的应用价值
Application of Loewenstein Occupational Therapy Cognitive Assessment in Patients with Lacunar Infarction
摘要
Abstract
Objective To explore the application value of Loewenstrein occupational therapy cognitive assessment (LOTCA) in evaluating the cognitive impairment of the patients with lacunar infarction (LI) induced by cerebral small vessel disease.Methods The mini-mental state examination (MMSE) and LOTCA were applied in assessing the cognitive function of 64 patients with LI induced by cerebral small vessel disease.Results The total scores of MMSE was in positive correlation to the total scores of LOTCA (r=0.532,P＜0.01);there existed statistical differences in the total score of MMSE and the scores of some sub-items,such as orientation to place,delayed recall,language understanding,sentence writing,attention and calculating capacity,between the left hemisphere lesion (LHL) and the right hemisphere lesion (RHL) in patients with LI induced by cerebral small vessel disease (P＜0.05);the LOTCA scores of the LHL in orientation to time,overlapping graphic,spatial perception,application and Riska disorganized shape classification were significantly lower than those of the RHL while the LOTCA scores of the RHL in orientation to place,incomplete object recognition,visuomotor organization,geometric reasoning and the total LOTCA scores were significantly lower than those of the LHL;there existed statistical differences in orientation,visuomotor organization and thinking between the RHL and the LHL (P＜ 0.05).Conclusions There are different cognitive function disorders between the LHL and RHL in patients with LI induced by cerebral small vessel disease,LOTCA is fit for the assessment of cognitive function of the patients.关键词
卒中；腔隙/认知/洛文斯顿作业疗法认知评定量表/简易精神状态检查Key words
stroke, lacunar/cognition/Loewenstein occupational therapy cognitive assessment (LOTCA)/minimental state examination (MMSE)引用本文复制引用
缪欢欢,谢瑞满..洛文斯顿作业疗法认知评定量表在腔隙性脑梗死患者中的应用价值[J].老年医学与保健,2018,24(2):133-135,153,4.基金项目
国家脑卒中康复研究课题(01BA703B18b) （01BA703B18b）
上海市优秀医学人才基金(01YZK) （01YZK）
