MoCA量表中文版在血管性认知障碍评估中的临床应用 .pdf

MoCA量表中文版在血管性认知障碍评估中的临床应用

华爱玲秦赞

（西安一四一医院陕西西安710089）

【摘要】目的：观察蒙特利尔认知评估(MoCA)量表中文版对血管性认知障碍的评定效果。

方法：对照组及病例组各入选30例，均应用MoCA量表中文版及简易精神状态量表(MMSE)

实施认知评定。病例组于认知康复治疗4周后再次进行评定。结果：病例组与对照组MoCA

量表中文版及MMSE量表评定的各项认知功能亚项得分的差异均有统计学意义，P＜0.01；

两组MoCA量表中文版及MMSE量表评定总分相关性良好r=0.874，P＜0.01；病例组康复治

疗前后MoCA量表中文版评估结果显示各项认知功能评分及总分均显著改善，P＜0.01。结

论：MoCA量表中文版可用于血管性认知障碍患者认知功能及其康复疗效的评定。

【关键词】蒙特利尔认知评估量表中文版；简易精神状态量表；血管性认知障碍

ClinicalApplicationoftheMontrealCognitiveAssessmentChineseversioninthePatientswith

VascularCognitiveImpairmentGONGZhuo,CHENYan，PANCui-huan，LUOLi-juan.Departmemt

ofRehabilitation,TheSecondAffiliatedHospitalofGuangzhouMedicalCollege，Guangzhou

510260

【Abstract】0bjectiveToobservetheapplicationoftheMontrealCognitiveAssessment(MoCA)

Chineseversioninthepatientswithvascularcognitiveimpairment．Methods30peoplewithout

cognitiveimpairment(controlgroup)and30patientswithvascularcognitiveimpairment(patient

group)werechosen.AllpatientswereassessedbyMoCAChineseversionandMini-mentalState

Examination(MMSE).Andpatientsinpatientgroupwereassessedagainafter4weekscognitive

rehabilitationtreatment.ResultsThescoresofcognitionsub-itemsbetweencontrolgroupand

patientgroupweresignificantlydifferentbothinMoCAChineseversionandMMSE(P0.01)，And

significantcorrelationwasfoundbetweenthetotalscoresofMoCAChineseversionandMMSE

（r=0.874，P＜0.01）.ThescoresofcognitionevaluationbyMoCAChineseversionwere

improvedsignificantlyafter4weekscognitiverehabilitationtreatmentinpatientgroup(P0.01).

ConclusionMoCAChineseversioncouldbeusedtoassessvascularcognitiveimpairmentand

cognitiverehabilitationefficiency.

【Keywords】MontrealCognitiveAssessment(MoCA)Chineseversion；Mini-mentalState

Examination(MMSE)；VascularCognitiveImpairment

蒙特利尔认知评估(MontrealCognitiveAssessment，MoCA)量表是在简易精神状态量表

(Mini-mentalStateExamination，MMSE)的认知项目设置和评分标准基础上改良