洛文斯顿认知功能评定量表对评价维持性血液透析患者认知功能的应用  

The application of LOTCA-Ⅱ in the assessment of cognitive function in patients with maintenance hemodialysis

作　　者：曾贵林[1] 谭妙玲[1] 廖雪萍[1] 赵玉婵[1] 

机构地区：[1]江门市新会区人民医院肾内科,广东江门529100

出　　处：《包头医学院学报》2015年第10期25-26,共2页Journal of Baotou Medical College

摘　　要：目的:探讨洛文斯顿认知功能评定量表(loewenstein occupational therapy cognitive assessment-Ⅱ,LOTCA-Ⅱ)在评价维持性血液透析患者认知功能中的应用价值。方法:根据简易精神量表(mini-mentol state examination,MMSE)分值,将65名维持性血液透析患者分成观察组23例及对照组42例,30名健康者作为空白组。比较三组对象MMSE评分、LOTCA-Ⅱ量表总分及其各项目的评分差异。结果:观察组MMSE、LOTCA-Ⅱ两项评分均低于对照组和空白组(P<0.05)。对照组LOTCA-Ⅱ评分低于空白组(P<0.05)。结论:与MMSE量表相比,LOTCA-Ⅱ量表对隐匿的认知障碍诊断敏感性较高。Objective：To discuss the application value of LOTCA-Ⅱin the assessment of cognitive function in patients with maintenance hemodialysis.Methods：According to MMSE value,65 cases of maintenance hemodialysis were divided into the observation group and the control group,with 30 healthy people as the blank group,the MMSE score,LOTCA- Ⅱscore and the score of each item among the three groups compared.Results：The MMSE and LOTCA-Ⅱscores of the observation group were both lower than those of the control group and the blank group（P〈0.05）.LOTCA-Ⅱscore of the control group was lower than that of the blank group（P〈0.05）.Conclusion：Compared with the MMSE scale,LOTCA-Ⅱis more sensitive to the diagnosis of occult cognitive disorders.

关 键 词：维持性血液透析 认知障碍 洛文斯顿认知功能评定量表 

分 类 号：R459.5[医药卫生—治疗学]