轻度血管性认知障碍神经心理评估量表的构建

被引:15
作者
周爱红
贾建平
闵宝权
杨培洁
机构
[1] 首都医科大学宣武医院神经内科
关键词
认知障碍; 神经心理学测验; 记忆障碍; 痴呆,血管性;
D O I
暂无
中图分类号
R749.1 [脑器质性精神障碍];
学科分类号
100205 ;
摘要
目的制定适合轻度血管性认知障碍(mVCI)患者的神经心理评估量表。方法选择mVCI患者共80例(mVCI组),其中皮质下小血管病导致的mVCI(with subcortical small vessel disease,mVCI-SSVD)患者56例(mVCI-SSVD组),多发性梗死或关键部位梗死导致的mVCI(with multi-infarct or strategic infarct,mVCI-MI/SI)患者24例(mVCI-MI/SI组),另选健康志愿者80例(正常对照组)进行广泛认知测查,确定损害认知域,筛选出每个认知域中对mVCI及其亚型识别能力最好的单项测验组成综合评估量表,探讨其敏感度和特异度。结果mVCI组及其mVCI-SSVD组、mVCI-MI/SI组患者均为多认知域损害。综合量表对区别mVCI组、mVCI-SSVD组、mVCI-MI/SI组和正常对照组有较好的敏感度和特异度,对认知损害极轻的患者仍有很好的判别能力。结论综合评估量表对mVCI组及其mVCI-SSVD组、mVCI-MI/SI组患者具有较高的识别能力,有重要的应用价值。
引用
收藏
页码:276 / 279
页数:4
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