老年女性遗忘型与血管型轻度认知功能障碍患者的认知功能比较  

Comparison of the cognitive function in elder female patients with vascular mild cognitive impairment and amnestic mild cognitive impairment

作　　者：刘园园 李伟[1,2] 李冠军[1,2] 王静华[1,2] 岳玲[1,2] 洪波 安娜[1,2] 苏宁[1,2] 肖世富[1,2] 

机构地区：[1]上海交通大学医学院附属精神卫生中心 [2]上海交通大学阿尔茨海默病诊治中心,200030

出　　处：《临床精神医学杂志》2017年第5期300-302,共3页Journal of Clinical Psychiatry

基　　金：国家科技支撑计划项目(2009BA177803)

摘　　要：目的:探讨老年女性遗忘型轻度认知功能障碍(aMCI)和血管型轻度认知功能障碍(vMCI)患者认知缺损的特征。方法:对163例老年女性aMCI患者和22例女性vMCI患者采用简易精神状态检查量表(MMSE)、蒙特利尔认知评估量表(MoCA)和老年成套神经心理测验(NTB)评估其认知功能,并进行比较。结果:aMCI组和vMCI组在写句子、画图、命名、注意力、视觉辨认-功能联系、视觉辨认-语义联系、语言流畅性、韦氏填图的测验上差异有统计学意义(P<0.05)。结论:通过NTB的语义记忆测试和执行功能测验可以较好的区分vMCI和aMCI,但该结论仅限于老年女性。Objective： to analyze and compare the cognitive impairment characteristics between amnestic mild cognitive impairment（ a MCI） patients and vascular mild cognitive impairment（ v MCI） patients.Method： 163 female a MCI patients and 22 female patients with v MCI were selected as our study subjects,using the mini mental state examination（ MMSE）,Montreal cognitive assessment scale（ Mo CA） and neuropsychological test baterry（ NTB） to assess their cognitive function. Results： There were statistically significant differences in written sentences,drawing,naming,attention,visual function,visual recognition semantic connection,language fluency,Wechsler picture completion test（ P 0. 05） between female a MCI and female v MCI patients. Conclusion： v MCI and a MCI can be distinguished by the semantic memory test and performance test of NTB,but the conclusion is limited to women.

关 键 词：血管型轻度认知功能障碍 遗忘型轻度认知功能障碍 简易精神状态检查量表 蒙特利尔认知评估量表 老年成套神经心理测验 

分 类 号：R749.4[医药卫生—神经病学与精神病学]