蒙特利尔认知评估量表在轻度认知功能障碍中的应用  

Application of Montréal cognitive assessment in patient with mild cognitive impairment

作　　者：龚亮[1] 王继华[1] 李秀[2] 杨旭东[1] 

机构地区：[1]云南玉溪市人民医院神经内科,玉溪653100 [2]云南玉溪市人民医院肿瘤科,玉溪653100

出　　处：《中国实用神经疾病杂志》2014年第18期36-37,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨蒙特利尔认知评估量表在轻度认知功能障碍患者中的应用。方法测试年龄及教育程度相匹配的42例MCI患者及39例正常对照组进行MoCA测查。结果与对照组(27.36±1.38)相比,MCI组的MoCA总分(23.93±3.69)更差,差异有统计学意义(P<0.01);MCI组在命名、语言及定向方面与对照组无明显差异(P>0.05)。MCI组在视空间与执行功能(HC 4.46±0.78,MCI 3.57±1.23)、注意(HC 5.95±0.22,MCI 5.61±0.73)、抽象思维(HC 1.61±0.54,MCI1.21±0.68)及延迟回忆(HC 3.54±0.88,MCI 1.97±1.20)方面,均较对照组更差,差异有统计学意义(P<0.01)。结论MCI患者不仅在记忆上较正常人差,可能在视空间与执行功能、注意、抽象思维方面存在损害。MoCA量表对MCI患者各认知方面可起到初筛作用。Objective To explore the application of Montreal cognitive assessment（MoCA）to evaluate the impaired cognitive of patients with mild cognitive impairment（MCI）.Methods 42 MCI patients and 39 normal people with age and education matched were assessed with MoCA test.Results The scores of MoCA（23.93±3.69）,visual space and executive function（3.57±1.23）,attention（5.61±0.73）,abstract thought（1.21±0.68）and delayed recall（1.97±1.20）in MCI group were significantly lower than these in control group（27.36±1.38,4.46±0.78,5.95±0.22,1.61±0.54 and 3.54±0.88,respectively）.However,there had no significant difference in name,language and orientation of two groups.Conclusion MoCA cognitive assessment shows that the memory,visual space and executive function,attention and abstract thought in patients with MCI are poorer to these in normal people.And this scale can have an early screening effect.

关 键 词：轻度认知障碍 蒙特利尔认知评估量表 

分 类 号：R749[医药卫生—神经病学与精神病学]