MoCA量表对脑梗死患者认知功能障碍评估的临床研究

目的 探讨MoCA量表对脑梗死患者认知功能障碍评估的临床价值.方法 应用蒙特利尔认知评测量表(Montreal Cognitive Assessment,MoCA)对无症状脑梗死患者进行认知功能障碍评价,并对相关危险因素进行分析研究.结果 研究组患者的MoCA评分明显低于对照组,而且研究组中MCI发生率较对照组明显升高,且差异有统计学意义(t或x2=5.61、18.18,P均＜0.05).研究组患者的MoCA评分明显低于对照组,而且研究组中MCI发生率较对照组明显升高,且差异有统计学意义(t或x2=5.61、18.18,P均＜0.05).年龄≥65岁、多发梗死灶,合并高血压、糖尿病、高脂血症等因素是脑梗死患者发生认知功能障碍的危险因素.结论 MoCA量表可操作性强、测试简便快捷、敏感度高,MoCA可以作为对脑梗死患者进行认知功能障碍评估和筛查的良好工具,值得在临床推广使用.

MoCA scale for cognitive impairment in patients with cerebral infarction was evaluated in a clinical study

OBJECTIVE To explore the MoCA scale for cognitive impairment in patients with cerebral infarction to assess the clinical value of. METHODS We applied the Montreal cognitive assessment scale (Montreal Cognitive Assessment, MoCA) of asymptomatic cerebral infarction patients with cognitive dysfunction evaluation, and associated risk factors of analysis. RE- SULTS The study group of patients with MoCA score was significantly lower than that of the control group, and the research group in MCI incidence significantly higher than those in control group, and there was significant difference ( t or χ 2 = 5.61, 18.18, P﹤0.05). Research group of patients with MoCA score was significantly lower than the control group, and the re- search group in MCI incidence significantly higher than those in control group, and there was significant difference (t or χ 2 = 5.61, 18.18, P﹤0.05). Above 65 years of age, multiple cerebral infarction, hypertension, diabetes, hyperlipidemia and oth- er factors in patients with cerebral infarction occurred are a risk factors for cognitive impairment. CONCLUSION MoCA scale, strong operability, simple and fast test, high sensitivity and MoCA can be used as a on cerebral infarction patients with cogni- tive dysfunction assessment and screening of good tools, and it is worth of promoting in clinical applicaiton.