MoCA量表评估无症状脑梗死患者的认知功能  

Study of Cognitive Function in Silent Cerebral Infarction Patients

作　　者：陈根本[1] 魏丽玲[2] 陈雪枝[3] CHEN Gen-ben,WEI Li-ling, CHEN Xue-zhi （1.Chao＇an Country Anbu Huaqiao Hospital in Guangdong Province,Chao＇an 515638; 2.No.1 Affiliated Hospital,Shantou University,Shantou 515041; 3.Chaozhou City Centre Hospital,Chaozhou 515600,China）

机构地区：[1]潮安县庵埠华侨医院内科,广东潮安515638 [2]汕头大学医学院第一附属医院神经内科,广东汕头515041 [3]潮州市中心医院神经内科,广东潮州515600

出　　处：《医学信息》2011年第11期3312-3313,共2页Journal of Medical Information

摘　　要：目的探讨无症状脑梗死与认知功能的关系。方法采用蒙特利尔认知评估量表对55例无症状脑梗死患者与31例对照组的认知功能进行评测，观察两组认知功能及其各项指标的差异。结果55例无症状脑梗死患者中认知功能损伤的发生率明显高于31例对照组（P〈0．05）；无症状脑梗死组的视空间／执行功能、注意力和集中、抽象思维及定向力方面各项评分明显低于对照组（P〈0．05），而命名、计算、语言及记忆力方面各项评分低于对照组，但两组比较没有统计学差异（P〉0．05）。结论无症状脑梗死患者存在认知功能障碍。主要表现在视空间／执行功能、注意力和集中、抽象思维及定向力方面。Objective To discuss the silent cerebral infarction （SCI） and its relation to cognitive function. Methods Cognitive function was assessed with Montreal Cognitive Assessment （MoCA） in 55 cases silent cerebral infarction patients diagnosed by brain CT or MRI and 31 cases normal control group. Cognitive function and its various indicators were observed. Images of the 55 cases were analyzed. Results The incidence of cognitive impairment in 55 SCI patients is significantly higher than the control group （P 〈0.05）. And scores of the visuospatial/executive, attention, abstraction and orientation in the silent cerebral infarction group were significantly lower than that of the control group （P〈O.05）. Besides, scores of the naming, calculation, language and delayed recall were lower than that of the control group, but the two groups had no statistical significance （P〉O.05）. Conclusions The silent cerebral infarction patients have cognitive impairment, which mostly displays damage of visuospatial/executive, attention, abstraction and orientation.

关 键 词：无症状脑梗死 认知功能 

分 类 号：R743.33[医药卫生—神经病学与精神病学;医药卫生—临床医学]