MoCA与MMSE在急性缺血性卒中后认知障碍评估中的应用

被引：91

作者：

贾阳娟 ^{[1
]}

韩凝 ^{[1
]}

王美蓉 ^{[1
]}

贾艳丽 ^{[2
]}

赵景茹 ^{[2
]}

吕佩源 ^{[2
]}

王建华 ^{[2
]}

机构：

[1] 石家庄, 河北医科大学研究生学院

[2] 石家庄, 河北省人民医院神经内科

来源：

中华行为医学与脑科学杂志 | 2017年 / 26卷 / 01期

关键词：

急性缺血性卒中; 认知障碍; 蒙特利尔认知评估量表; 简易智能精神状态量表;

D O I：

暂无

中图分类号：

R749.13 [];

学科分类号：

摘要：

目的比较蒙特利尔认知评估量表(MoCA)和简易智能精神状态量表(MMSE)在急性缺血性卒中后认知障碍评估中的应用价值。方法 201例急性缺血性卒中患者, 采用MoCA和MMSE在卒中发病2～3周进行神经心理学评估, 以MoCA<23分和MMSE<26分作为是否存在认知障碍的分界值, 分析两种测评工具识别卒中后认知障碍的能力及二者的相关性。结果 201例急性缺血性卒中患者, MoCA和MMSE评分分别为(20.5±4.3)分和(25.4±3.5)分。MoCA和MMSE对急性卒中后认知障碍的检出率分别为57.2%和43.3%, 其中47/201例(23.4%)MMSE正常的患者MoCA显示存在认知障碍。MoCA与MMSE评分显著相关(Pearson相关系数r=0.833, P<0.01);一致性检验显示Kappa值为0.532, P<0.01。结论 MoCA对卒中后2～3周认知障碍的检出率高于MMSE, 但二者具有较高的一致性。

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