中华神经医学杂志
中華神經醫學雜誌
중화신경의학잡지
CHINESE JOURNAL OF NEUROMEDICINE
2011年
10期
1063-1066
,共4页
Loewenstein认知评定量表%简易精神状态量表%术后认知障碍
Loewenstein認知評定量錶%簡易精神狀態量錶%術後認知障礙
Loewenstein인지평정량표%간역정신상태량표%술후인지장애
Loewenstein occupational therapy cognitive assessment%Mini-mental state examination%Postoperative cognitive dysfunction
目的 通过与简易精神状态量表(MMSE)的比较,评估Loewenstein认知评定量表(LOTCA)是否能用于术后认知障碍(POCD)的诊断与研究. 方法 对山东省立医院心外科自2010年10月至2011年3月行心脏瓣膜置换术的30例患者,分别于术前1d和术后7d使用MMSE、LOTCA行神经心理学测评患者的认知功能,分析比较二者对POCD的诊断率、MMSE和LOTCA评分及检测时间的差异. 结果 患者采用MMSE测评诊断POCD 13例(43.33％),采用LOTCA测评诊断POCD 17例(56.67％),诊断率比较差异无统计学意义(x2=1.067,P=0.302).与术前1d比较,术后7d患者MMSE总分、LOTCA总分、LOTCA评分中4个子项目(动作运用、视运动组织、思维操作、注意力及专注力)得分降低,差异均有统计学意义(P＜0.05).患者MMSE总分与LOTCA总分呈正相关关系(γ=0.711,P=0.005).与MMSE的测评时间比较、患者术前1d和术后7d LOTCA的测评时间均较高,差异有统计学意义(P＜0.05). 结论 LOTCA可以用于POCD的诊断与研究,能够较MMSE更全面的评估患者的认知功能,但耗时较长.
目的 通過與簡易精神狀態量錶(MMSE)的比較,評估Loewenstein認知評定量錶(LOTCA)是否能用于術後認知障礙(POCD)的診斷與研究. 方法 對山東省立醫院心外科自2010年10月至2011年3月行心髒瓣膜置換術的30例患者,分彆于術前1d和術後7d使用MMSE、LOTCA行神經心理學測評患者的認知功能,分析比較二者對POCD的診斷率、MMSE和LOTCA評分及檢測時間的差異. 結果 患者採用MMSE測評診斷POCD 13例(43.33％),採用LOTCA測評診斷POCD 17例(56.67％),診斷率比較差異無統計學意義(x2=1.067,P=0.302).與術前1d比較,術後7d患者MMSE總分、LOTCA總分、LOTCA評分中4箇子項目(動作運用、視運動組織、思維操作、註意力及專註力)得分降低,差異均有統計學意義(P＜0.05).患者MMSE總分與LOTCA總分呈正相關關繫(γ=0.711,P=0.005).與MMSE的測評時間比較、患者術前1d和術後7d LOTCA的測評時間均較高,差異有統計學意義(P＜0.05). 結論 LOTCA可以用于POCD的診斷與研究,能夠較MMSE更全麵的評估患者的認知功能,但耗時較長.
목적 통과여간역정신상태량표(MMSE)적비교,평고Loewenstein인지평정량표(LOTCA)시부능용우술후인지장애(POCD)적진단여연구. 방법 대산동성립의원심외과자2010년10월지2011년3월행심장판막치환술적30례환자,분별우술전1d화술후7d사용MMSE、LOTCA행신경심이학측평환자적인지공능,분석비교이자대POCD적진단솔、MMSE화LOTCA평분급검측시간적차이. 결과 환자채용MMSE측평진단POCD 13례(43.33％),채용LOTCA측평진단POCD 17례(56.67％),진단솔비교차이무통계학의의(x2=1.067,P=0.302).여술전1d비교,술후7d환자MMSE총분、LOTCA총분、LOTCA평분중4개자항목(동작운용、시운동조직、사유조작、주의력급전주력)득분강저,차이균유통계학의의(P＜0.05).환자MMSE총분여LOTCA총분정정상관관계(γ=0.711,P=0.005).여MMSE적측평시간비교、환자술전1d화술후7d LOTCA적측평시간균교고,차이유통계학의의(P＜0.05). 결론 LOTCA가이용우POCD적진단여연구,능구교MMSE경전면적평고환자적인지공능,단모시교장.
Objective To evaluate whether Loewenstein occupational therapy cognitive assessment (LOTCA) can be used in the diagnosis of postoperative cognitive dysfunction (POCD) by comparing it with mini-mental state examination (MMSE).Methods Thirty patients performed cardiac valve replacement surgery in our hospital from October 2010 to March 2011 were chosen; the cognitive function of these patients were neuropsychologically evaluated by MMSE and LOTCA 1 d before and 7 d after the surgery; the differences of accurately diagnostic rate on POCD,the scores and the time-consuming when MMSE and LOTCA were chosen were compared.Results Thirteen patients (43.33％) were diagnosed as having POCD by MMSE and 17 patients (56.67％) by LOTCA; the difference of accurately diagnostic rate on POCD was not statistically significant (x2=1.067,P=0.302).MMSE scores,LOTCA scores and scores of 4 subtests (motor praxis,visuomotor organization,operation of thinking,and attention and concentration) 7 d after the surgery was significantly decreased as compared with those 1 d before the surgery (P＜0.05).MMSE scores were highly correlated with LOTCA scores (γ=0.711,P=0.005).Conclusion LOTCA can be used in the diagnosis and research of POCD.It can do a more comprehensive assessment than MMSE in cognitive function with longer times.
