摘要
目的:分析按不同性别、年龄、教育程度分层的正常、轻度认知功能损害和痴呆老年人的老年成套神经心理测验(BCAI)特点,以及BCAI对痴呆的早期预测价值。方法:采用整群抽样方法,抽取开原市两所敬老院和老干部局退休的60岁以上的老年人86例,按简明智力状态量表(MMSE)结果分为正常老年人、轻度认知损害和痴呆组,比较MMSE、日常生活能力量表(ADL)、总体退化量表(GDS)和BCAI特点。结果:正常老年人(n=72)中随着受教育程度的增高BCAI各单因子值均呈显著性上升(F=5.40～34.50,P均<0.01),而不同性别中除连线、年龄中除词汇两个单因子差异有显著性意义(F=2.39,4.39,P均<0.01)外,其他各单因子呈总体上升趋势,差异无显著性意义;其MMSE、兴趣广度男性高于女性,低年龄段高于高年龄组,教育程度高者高于程度低者。轻度认知损害组和痴呆组MMSE,ADL,GDS和兴趣广度均明显低于正常老人,差异有显著性意义(F=9.76～41.67,P<0.05～0.01)。轻度认知损害组BCAI测验各项分值明显低于正常老人,差异有显著性意义(u=2.12～9.10,P均<0.01)。结论:轻度认知损害及痴呆患者有多方面的认知功能损害,正常老人教育储备越高BCAI成绩越好。BCAI对轻度认知损害和痴呆早期预测有肯定作用。
AIM:To analyze the features of battery of cognitive assessment instrument(BCAI) on the normal,mild cognitive inefficiency(MCI) and dementia in the elderly,and the significance of BCAI on the prediction of dementia on the basis of sex,age and education background.METHODS:A total of 86 older than 60 years old,retiring from two geracomiums and cadre's bureau in Kaiyuan City,were selected with the method of cluster sampling.They were divided into normal group,MCI group and dementia group according to mini mental state examination(MMSE) to compare activities of daily living scale(ADL),geriatric depression scale(GDS)and BCAI features.RESULTS:With the increase of education level in the normal group(n=72),the value of each factor of BCAI was significantly increased(F=5.40 to 34.50,all P< 0.01),however, except difference lines in sex and vocabulary in age showed significant meaning(F=2.39,4.39,all P< 0.01),other monofactors were all increased,and the difference had no significant meaning.For MMSE and interest extend,males were higher than females,youths were higher than the aged,and people with higher education were higher than people with lower education.MMSE,ADL,and GDS and interest extend in the MCI and dementia groups were significantly lower than those of the normal group,and the difference had significant meaning(u=2.12 to 9.10,all P< 0.01).CONCLUSION:MCI and dementia patients have many cognitive disorders.Normal elders with higher education degree have better score of BCAI.BCAI has positive effect on the early prediction for MCI and dementia.
出处
《中国临床康复》
CSCD
2004年第30期6582-6584,共3页
Chinese Journal of Clinical Rehabilitation
