画钟测验在认知功能障碍患者中的临床观察效果  

Clinical Observation of the Effect of Clock Drawing Test in Patients with Cognitive Dysfunction

作　　者：郭莹[1] 熊京 王政科 倪花[4] Guo Ying;Xiong Jing;Wang Zhengke;Ni Hua(Shanghai University of Medicine&Health Sciences,Shanghai 201318,China;Shanghai Hebin Rehabilitation Hospital,Shanghai 201702,China;Shanghai Neuromedical Center,Shanghai 200331,China;Shanghai Xuhui Mental Health Center,Shanghai 200232,China)

机构地区：[1]上海健康医学院,上海201318 [2]上海禾滨康复医院,上海201702 [3]上海德济医院,上海200331 [4]上海市徐汇区精神卫生中心,上海200232

出　　处：《黑龙江科学》2022年第22期69-72,共4页Heilongjiang Science

基　　金：上海市徐汇区科学技术委员会并徐汇区卫生计生委医学科技项目“标准化强化门诊干预在社区精神分裂症患者的应用研究”阶段性研究成果(SHXH201717)。

摘　　要：分析画钟测验(CDT)在认知功能障碍患者中的临床观察效果。收集上海某精神卫生专科医院232例住院患者的临床资料及CDT得分,对患者的相关人口学资料、临床资料与4分评分法CDT结果进行相关性和差异性比较;以受试者工作特征(ROC)曲线评价CDT在识别患者认知功能障碍方面的敏感度和特异度,得出所占有面积(AUC)。①患者的年龄、就业情况与CDT得分存在显著性差异(P<0.05);②学历、性别、婚姻状况、躯体疾病、用药情况、疾病诊断及病程等变量对于患者的认知功能水平没有显著影响;③53.4%的精神分裂症患者中存在不同程度的认知功能障碍;④采用ROC曲线分析CDT结果,AUC得分为0.511,说明患者的认知功能水平与年龄、就业情况有显著相关;超半数的精神分裂症患者存在不同程度的认知功能障碍;CDT可有效测试出患者是否存在认知功能障碍,但该测验本身在识别患者认知功能障碍时的诊断价值不高。The study analyzes the clinical observation effect of Clock Drawing Test(CDT)in patients with cognitive dysfunction,collects the clinical data and CDT scores of 232 inpatients in a secondary mental health specialized hospital in Shanghai City,and compares the correlation and difference of relevant demographic data,clinical data and 4-score CDT.The sensitivity and specificity of CDT in identifying cognitive impairment are evaluated by ROC curve,and the occupied area(AUC)is obtained.①There are significant differences in variables,such as age,employment and CDT scores(P<0.05);②Variables,such as educational background,gender,marital status,physical disease,medication status,disease diagnosis and course of disease,have no significant effect on cognitive function of patients;③53.4%of schizophrenics have cognitive disorder in different degrees;④CDT results show that AUC score is 0.511.The level of cognitive function is significantly correlated with age and employment;more than half of schizophrenia patients do have different degrees of cognitive impairment;CDT can effectively test whether the patient has cognitive dysfunction,but the test itself is not valuable in identifying cognitive dysfunction.

关 键 词：画钟测验 认知功能障碍 精神疾病 临床观察 诊断价值 

分 类 号：R749.1[医药卫生—神经病学与精神病学]