老年期痴呆74例脑CT径线测量与神经心理测评观察  

Diameters' measuring by brain CT and the neuropsychological evaluation observation in 74 cases with senile dementia

作　　者：孙长友[1] 李国辉[1] 汤光宗[1] 杨建林[2] 李洪涛[2] 宋桂清[1] 孙爱玲[2] 罗海峰[1] 陈强庆[1] 魏芳艳[1] 杨苏萍[1] 王培芳[1] 许红丽[1] 张剑利[2] 余锂镭[2] 

机构地区：[1]孝感市康复医院老年科,湖北省孝感市432000 [2]孝感市中心医院CT室,湖北省孝感市432000

出　　处：《实用老年医学》2011年第3期233-235,共3页Practical Geriatrics

摘　　要：目的观察老年期痴呆患者头颅CT与神经心理测评的特点。方法通过Hackinski缺血指数表区分血管性痴呆(VD)及阿尔茨海默病(AD),将有关的头颅CT径线和神经心理测评量表进行对比。结果①AD组和VD组头颅CT扫描各径线比较,差异具有统计学意义(P<0.05)。②AD组和VD组简易智力状态检查表(MMSE)总分比较有统计学意义(P<0.05)。AD和VD组与对照组比较,部分MMSE因子分差异有统计学意义(P<0.05或P<0.01)。③AD组和VD组小脑沟条数差异具有统计学意义(P<0.05)。结论 AD组大脑萎缩及痴呆程度重于VD组,而小脑萎缩则不尽然。结合CT检查和神经心理测评仍是鉴别VD及AD的有效方法 。Objective To observe the relationship between elderly patients with dementia observation head CT and neural psychological evaluation.Methods By Hackinskiischemia index table and the head CT examination among vascular dementia（VD）and Alzheimer＇s disease（AD）were distinguished.The CT diameters and neuropsychologicol status scale were compared.Results（1）Corticaland subcortical atrophy was different between VD group and AD group.（2）AD group is more serious than VD group in dementia.（3）VD group was different from AD group in cerebellar atrophy.Conclusions AD group shows move serious atrophy and dementia than VD group.Combine CT examination with neuropsychologicalevaluation remain effective methods for diagnosis of VD and AD.

关 键 词：老年期疾呆 血管性疾呆 阿尔茨海默病 头颅CT 脑萎缩 神经心理测评 

分 类 号：R749.16[医药卫生—神经病学与精神病学]