机关背景80岁以上轻度认知障碍患者MoCA量表特征研究  

Characteristics of MoCA test in the mild cognitive impairment patients aged over 80 years with office backgrounds

作　　者：潘晓东[1] 张长春[2] 应单平[1] 符晓苏 周辰[1] 张鹏翎[1] 帅苏蓉[1] 

机构地区：[1]江苏省老年医学研究所老年科,江苏省南京市210024 [2]江苏省老年医学研究所神经内科,江苏省南京市210024

出　　处：《实用老年医学》2011年第1期33-36,共4页Practical Geriatrics

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 assess-ment,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。Objective To study the characteristics of Montreal cognitive assessment（MoCA） scale in the mild cog- nitive impairment （MCI） patients aged over 80 years with office backgrounds. Methods Eighty-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. Results The 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. Conclu- sions The cognitive functions, especially executive function, are decreased with aging in older MCI patients because of atherosclerosis and so on.

关 键 词：轻度认知障碍 老年人 蒙特利尔认知评估 

分 类 号：R749.4[医药卫生—神经病学与精神病学]