本文選題：體格檢查　切入點(diǎn)：認(rèn)知　出處：《中華老年心腦血管病雜志》2014年04期

【摘要】：目的研究蒙特利爾認(rèn)知評(píng)估量表(MoCA)各條目在正常體檢人群中的分布特征,為北京版MoCA量表的應(yīng)用及修改提供基礎(chǔ)資料。方法選取我院干部門診1350例體檢人群為對象,其中自愿接受MoCA檢查的857例,排除既往被診斷為不同類型認(rèn)知障礙的80例,最后入組777例,均為男性,分為5組,其中65歲組175例,65~69歲組200例,70~74歲組145例,75~79歲組124例,≥80歲組133例。采用北京版MoCA量表對受檢人員進(jìn)行認(rèn)知功能評(píng)測,對MoCA中的視空間與執(zhí)行功能、命名、計(jì)算力與注意力、語言、抽象、延遲回憶、定向力各分項(xiàng)目的得分以"≤1/2項(xiàng)目分"和"≤項(xiàng)目平均分"為篩選條件進(jìn)行比較。結(jié)果與65歲組、65~69歲組、70~74歲組比較,75~79歲組、≥80歲組MoCA平均得分明顯降低(P0.05,P0.01)。777例患者中,MoCA平均得分為(26.83±2.58)分。分別以"≤1/2項(xiàng)目分"和"≤項(xiàng)目平均分"為篩選條件,低于篩選標(biāo)準(zhǔn)的患者占體檢人群的百分比在MoCA的子條目比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。2種篩選條件下,低于篩選標(biāo)準(zhǔn)患者占體檢人群的百分比在10%以上的項(xiàng)目分別為"連線"、"復(fù)制立方體"、"復(fù)述1"、"1min動(dòng)物數(shù)"、"抽象2"及"延遲回憶各項(xiàng)",以"≤項(xiàng)目平均分"為篩選條件時(shí),"畫鐘"和"100連續(xù)減7正確數(shù)"亦在10%以上。結(jié)論在正常體檢人群中,MoCA各分項(xiàng)失分情況不盡相同,部分項(xiàng)目可能需要進(jìn)一步修改以更好地應(yīng)用于認(rèn)知功能篩查。
[Abstract]:Objective to study the distribution of the items of Montreal Cognitive Assessment scale (MOCA) in the normal population, and to provide basic data for the application and revision of the Beijing version of the MoCA scale. Methods 1350 outpatients of our hospital were selected as subjects. Among them, 857 cases were voluntarily examined by MoCA, 80 cases were excluded from the previous diagnosis of different types of cognitive impairment, and the last 777 cases, all male, were divided into 5 groups. Among them, 175 cases in 65 years old group, 200 cases in 70 74-year-old group, 145 cases in 75 79-year-old group, 124 cases in 75 ~ 79 years old group, there were 175 cases in 65 years old group. The cognitive function of the subjects was evaluated with the Beijing version of MoCA scale. The visual space and executive function, naming, computational power and attention, language, abstraction, delayed recall in MoCA were evaluated. The scores of each subitem of orientation force were compared with that of "鈮，

本文編號(hào)：1689991