蒙特利尔认知评估量表在老老年认知功能评估中的应用

蒙特利尔认知评估量表在老老年认知功能评估中的应用
于焰;张娜;娄毅;董佳梅;肖卫忠
【期刊名称】《中华老年心脑血管病杂志》
【年(卷),期】2011(13)4
【摘要】目的探讨蒙特利尔认知评估量表(MoCA)在老老年认知功能障碍评估中的应用.方法选择117例年龄≥80岁的健康离退休人员,用MoCA和简易智能状态检查量表(MMSE)进行认知功能检测,并对不同受教育程度、不同年龄段和不同性别入选者的MoCA和MMSE检测结果进行分析.结果 MoCA评分4～
29(22.72±4.35)分,MMSE评分5～30(26.35±3.30)分,MoCA总体评分低于MMSE.不同受教育程度、不同年龄段、不同性别入选者中,MoCA评分低于MMSE评分,差异均有统计学意义(P＜0.05,P＜0.01).MoCA各分项受损程度由大到小排序为:延迟回忆、视空间与执行功能、语言、抽象思维、定向力、命名、计算力、注意力.受教育程度β=0.685,P=0.009)及年龄(β=-0.293,P=0.001)是MoCA评分的影响因素.结论 MoCA适用于老老年认知功能障碍的评估,且诊断认知功能障碍优于MMSE.%Objective To explore the application of Montreal Cognitive Assessment (MoCA) to cognitive impairment evaluation in the old-elderly. Methods One hundred and seventeen retired residents aged 80 years or older were recruited and both MoCA and Mini-Mental State Examination(MMSE) were conducted to assess their cognitive conditions,then the results of both scales for subjects with different educational levels,different ages and different genders were analyzed with SPSS software. Results Mo CA scores ranged from 4 to 29 (22. 72± 4.35),
MMSE scores ranged from 5 to 30 (26. 35 ±3.30). The overall scores of MoCA were lower than those of MMSE. Additionally, MoCA scored less than MMSE for different educational levels, different ages as well as for different genders. The score differences between the two scales were statistically significant (P ＜ 0.05,P ＜ 0.01). The items of MoCA sorted in descending order on the basis of the damage degree were as follows: delayed recall, visuospatial and executive function, language, abstract thinking, orientation, naming, calculation, attention. Age(β = - 0.293, P = 0.001)and educational level(β=0. 685, P = 0. 009) were influential factors for MoCA scores. Conclusion MoCA is applicable to evaluating cognitive impairment of the old-elderly and is better than MMSE in diagnosis of cognitive impairment.
【总页数】4页(P295-298)
【作者】于焰;张娜;娄毅;董佳梅;肖卫忠
【作者单位】100191,北京大学第三民院,中央党校院区内科;北京大学第三医院神经内科;100191,北京大学第三民院,中央党校院区内科;100191,北京大学第三民院,中央党校院区内科;北京大学第三医院神经内科
【正文语种】中文
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