中华麻醉学杂志
中華痳醉學雜誌
중화마취학잡지
CHINESE JOURNAL OF ANESTHESIOLOGY
2014年
2期
129-131
,共3页
李井柱%李晓征%王晓敏%王明山%于海芳%苗丹%陈伟%时飞%毕燕琳
李井柱%李曉徵%王曉敏%王明山%于海芳%苗丹%陳偉%時飛%畢燕琳
리정주%리효정%왕효민%왕명산%우해방%묘단%진위%시비%필연림
老年人%认知障碍%蒙特利尔认知评估量表%简易精神状态检查量表
老年人%認知障礙%矇特利爾認知評估量錶%簡易精神狀態檢查量錶
노년인%인지장애%몽특리이인지평고량표%간역정신상태검사량표
Aged%Cognitive disorders%Montreal cognitive assessment%Mini-mental state examination
目的 评价蒙特利尔认知评估量表(MoCA)法评估脊柱手术老年患者术后认知功能障碍(POCD)的可靠性.方法 选择全身麻醉下老年脊柱手术POCD患者(POCD组)及同期术后神经心理健康患者(对照组)各63例,性别不限,年龄65～ 75岁,采用MoCA法及简易精神状态检查量表(MMSE)法评估POCD,记录2种量表法评估完成的时间,计算其敏感性及特异性.结果 2种量表法评估完成的时间比较差异无统计学意义(P＞0.05).MoCA法评估POCD的敏感性90％,特异性84％,MMSE法评估POCD的敏感性30％,特异性97％,与MMSE法比较,MoCA法评估POCD的敏感性升高,特异性降低(P＜0.05或0.01).结论 MoCA法可用于评估脊柱手术老年患者POCD.
目的 評價矇特利爾認知評估量錶(MoCA)法評估脊柱手術老年患者術後認知功能障礙(POCD)的可靠性.方法 選擇全身痳醉下老年脊柱手術POCD患者(POCD組)及同期術後神經心理健康患者(對照組)各63例,性彆不限,年齡65～ 75歲,採用MoCA法及簡易精神狀態檢查量錶(MMSE)法評估POCD,記錄2種量錶法評估完成的時間,計算其敏感性及特異性.結果 2種量錶法評估完成的時間比較差異無統計學意義(P＞0.05).MoCA法評估POCD的敏感性90％,特異性84％,MMSE法評估POCD的敏感性30％,特異性97％,與MMSE法比較,MoCA法評估POCD的敏感性升高,特異性降低(P＜0.05或0.01).結論 MoCA法可用于評估脊柱手術老年患者POCD.
목적 평개몽특리이인지평고량표(MoCA)법평고척주수술노년환자술후인지공능장애(POCD)적가고성.방법 선택전신마취하노년척주수술POCD환자(POCD조)급동기술후신경심리건강환자(대조조)각63례,성별불한,년령65～ 75세,채용MoCA법급간역정신상태검사량표(MMSE)법평고POCD,기록2충량표법평고완성적시간,계산기민감성급특이성.결과 2충량표법평고완성적시간비교차이무통계학의의(P＞0.05).MoCA법평고POCD적민감성90％,특이성84％,MMSE법평고POCD적민감성30％,특이성97％,여MMSE법비교,MoCA법평고POCD적민감성승고,특이성강저(P＜0.05혹0.01).결론 MoCA법가용우평고척주수술노년환자POCD.
Objective To evaluate the reliability of Montreal Cognitive Assessment (MoCA) for assessment of postoperative cognitive dysfunction (POCD) in elderly patients undergoing spinal surgery by comparing it with Mini-Mental State Examination (MMSE).Methods Sixty-three elderly patients with POCD (POCD group) and another 63 elderly patients with mental health after operation during the corresponding period (control group),of both sexes,aged 65-75 yr,undergoing spinal surgery under general anesthesia,were studied.POCD was assessed using MoCA and MMSE.The time for completion of assessment for the two methods was recorded,and the sensitivity and specificity were calculated.Results There was no significant difference in the time for completion of assessment between MoCA and MMSE (P ＞ 0.05).The sensitivity and specificity of MoCA in assessing POCD were 90％ and 84％,respectively,and of MMSE were 30％ and 97％,respectively.Compared with MMSE,the sensitivity of MoCA in assessing POCD was significantly increased,while the specificity of MoCA in assessing POCD was decreased (P ＜ 0.05 or 0.01).Conclusion MoCA can be applied for assessment of POCD in elderly patients undergoing spinal surgery.
