实用老年医学

实用老年医学 ›› 2011, Vol. 25 ›› Issue (1): 33-.

• 论著 • 上一篇    下一篇

机关背景80岁以上轻度认知障碍患者MoCA量表特征研究

  

  1. 210024江苏省南京市，江苏省老年医学研究所老年科 (潘晓东，应单平，周辰，张鹏翎，帅苏蓉)；神经内科 (张长春,符晓苏)
  • 出版日期:2011-02-20 发布日期:2011-03-16

  • Online:2011-02-20 Published:2011-03-16

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被引次数

3

摘要：

目的研究机关背景≥80岁轻度认知障碍（MCI）患者蒙特利尔认知评估(Montreal cognitive assessment,MoCA)量表结果的特点。方法选择83例南京地区机关背景的≥65岁人群为研究对象,通过MoCA量表检查结合临床表现诊断是否为MCI患者。研究对象共分3组：<80岁MCI患者（A组，n=33），≥80岁MCI患者（B组，n=26），≥80岁非MCI患者（C组，n=24）。分析3组MoCA量表得分差异。结果B组患者的视空间能力和语言流畅性得分明显低于A组和C组，而A组患者血清胆固醇水平、血小板聚集率明显高于B组和C组。结论由于脑动脉硬化等原因，≥80岁MCI患者的执行能力较相对年轻的MCI患者和同年龄非MCI人群明显减退。

Abstract:

Characteristics of MoCA test in the mild cognitive impairment patients aged over 80 years with office backgroundsPAN Xiao-dong, YING Dan-ping， ZHOU Chen， ZHANG Peng-ling， SHUAI Su-rong. Department of Geriatrics; ZHANG Chang-chun, FU Xiao-su. Department of Neurology，Jiangsu Provincial Geriatrics Research Institute, Nanjing 210024, China
【Ａｂｓｔｒａｃｔ】　ＯｂｊｅｃｔｉｖｅTo study the characteristics of Montreal cognitive assessment(MoCA) scale in the mild cognitive impairment （MCI） patients aged over 80 years with office backgrounds.ＭｅｔｈｏｄｓEighty-three cases aged over 65 years with office backgrounds in Nanjing were selected and diagnosed by clinic parameters and the MoCA scale. The cases were divided into three groups: patients aged under 80 years with MCI(group A), patients aged over 80 years with MCI(group B), patients aged over 80 years without MCI(group C). The scores of MoCA scale in three groups were compared.ＲｅｓｕｌｔｓThe scores of the executive function and word fluency were worse in group B than those in group A and group C. The levels of serum cholesterol and platelet aggregation rate in group A were highest among the three groups.ＣｏｎｃｌｕｓｉｏｎｓThe cognitive functions, especially executive function, are decreased with aging in older MCI patients because of atherosclerosis and so on.
【Key　ｗｏｒｄｓ】mild cognitive impairment； aged; Montreal cognitive assessment