三种认知量表间记忆内容的相关性分析  

Correlation among Three Cognitive Tools in Memory Assessment

作　　者：张霜 吴野环 张一[1] 张瑜 程云 ZHANG Shuang;WU Ye-huan;ZHANG Yi;ZHANG Yu;CHENG Yun(Department of Rehabilitation,the Third Affiliated Hospital of Soochow University/the First People's Hospital of Changzhou,Changzhou,Jiangsu 213003,China)

机构地区：[1]苏州大学附属第三医院/常州市第一人民医院康复医学科,江苏常州市213003

出　　处：《中国康复理论与实践》2020年第7期807-812,共6页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨简易精神状态检查(MMSE)、蒙特利尔认知评估量表(MoCA)和Rivermead行为记忆量表-Ⅲ(RBMT-Ⅲ)在脑损伤患者记忆能力评估中的相关性以及特点。方法 2016年3月至2018年2月,脑损伤患者62例完成MMSE、MoCA和RBMT-Ⅲ测评,并进行相关性分析。结果三个量表总分间呈正相关(r=0.682~0.786, P <0.001),回溯性记忆(r=0.525~0.610, P <0.001)和长时记忆评分间均呈正相关(r=0.553~0.692, P <0.001)。RBMT-Ⅲ短时记忆与MMSE短时记忆评分呈正相关(r=0.337, P=0.007)。RBMT-Ⅲ前瞻性记忆与MMSE、MoCA回溯性记忆呈正相关(r=0.639、r=0.585, P <0.001),RBMT-Ⅲ短时记忆与MMSE、MoCA长时记忆呈正相关(r=0.454、r=0.534, P <0.001)。结论 MMSE、MoCA和RBMT-Ⅲ评估脑损伤患者回溯性记忆和长时记忆具有良好的一致性;RBMT-Ⅲ和MMSE评估脑损伤患者短时记忆也具有良好的一致性;脑损伤患者MMSE和MoCA记忆分项有助于评估基于事件的前瞻性记忆水平,而长时记忆分项有助于评估短时记忆水平。Objective To explore the correlation and characteristics of Mini-Mental State Examination(MMSE),Montreal Cognitive Assessment(MoCA)and Rivermead Behavioural Memory Test-III(RBMT-III)in evaluating memory ability of patients with brain injuries.Methods From March,2016 to February,2018,62 patients with brain injuries were evaluated with the Chinese version of MMSE,MoCA and RBMT-III.The correlation among them was analyzed.Results There was positive correlation among the total scores of MMSE,MoCA and RBMT-III(r=0.682 to 0.786,P<0.001),as well as the retrospective memory(r=0.525 to 0.610,P<0.001)and long-term memory(r=0.553 to 0.692,P<0.001).There was positive correlation between RBMT-III and MMSE in short-term memory(r=0.337,P=0.007).The prospective memory of RBMT-III positively correlated with retrospective memory of MMSE and MoCA(r=0.639,r=0.585,P<0.001),and the short-term memory of RBMT-III with long-term memory of MMSE and MoCA(r=0.454,r=0.534,P<0.001).Conclusion MMSE,MoCA and RBMT-III are consistent in evaluating retrospective memory and long-term memory for patients with brain injuries.RBMT-III and MMSE are consistent in evaluating short-term memory for patients with brain injuries.The memory scores of MMSE and MoCA are helpful to judge the event-based prospective memory in patients with brain injuries,while the scores of long-term memory are helpful to judge short-term memory.

关 键 词：脑损伤 记忆 简易精神状态检查 蒙特利尔认知评估量表 Rivermead行为记忆量表 

分 类 号：R742[医药卫生—神经病学与精神病学]