社区老人神经心理功能的5年随访观察

目的：调查分析社区老人同一组神经心理测验５年随访结果。方法：应用Ｆｕｌｄ物品记忆测验（ＦＯＭ）、言语流畅性测验（ＲＶＲ）、积木测验（ＢＤ）和数字广度测验（ＤＳ）评定１２１名社区老人５年前后的认知功能变化。结果：ＮＰＴ变化幅度是：正常老人组：ＢＤ＞ＲＶＲ＞ＤＳ＝ＲＥＣ１３。痴呆老人组：ＢＤ＞ＲＶＲ＝ＲＥＣ１３＞ＤＳ。正常衰老与病理衰老在物品短时记忆与语义长时记忆的减退速率上有显著的差异。结论：正常衰老与病理衰老具有不同的神经心理学变化特点，这些特点有助于痴呆的诊断与预测。

Five-year Follow-up of a Battery of Neuropsychological Tests in Community Elderly Persons

bjective:To conduct a five-year follow-up study of elderly people in the community using a battery of neuropsychological tests. Method: Using Fuld object memory evaluation(FOM), rapid verbal retrieve(RVR), block design (BD),digit span(DS), cognitive functions were evaluated in 121 elderly persons in community before and after 5 years. Results: Degree of cognitive changes:normal elderly group: BD>RVR>DS=REC13; demented patients group: BD>RVR=REC13>DS. Rates of decline of object short term memory and semantic long term memory had significant difference between normal and pathologic aging. Conclusion:Neuropsychological changes had different characteristics between normal and pathologic aging and may help the diagnosis and prognosis of dementia.