CAJ | 학술논문

目的：探讨蒙特利尔认知评估量表北京版（ Montreal cognitive assessment scale，MoCA）在轻度认知功能障碍（ mild cognitive impairment，MCI）诊断中应用的可行性。方法：选择MCI患者58例（ MCI组），另选同期健康体检者51例（对照组）。分别给予MoCA和简易智能状态检查量表（ MMSE）评估，并分析评估结果。结果：MCI组Mo－CA总分及MMSE总分均低于对照组（t＝－10．544，－16．188；P＜0．01）。与对照组比较，MCI组MoCA总分及各亚项评分明显降低（ t＝－7．625，－4．614，－5．306，－7．505，－5．991，－7．405，－3．020；P＜0．01）。 MoCA诊断MCI的敏感性为96．55％，特异性为76．47％，MMSE诊断MCI的敏感性为55．17％，特异性为96．07％。结论：MoCA用于MCI诊断时敏感性优于MMSE，能全面评估MCI患者的认知功能。
목적：탐토몽특리이인지평고량표북경판（ Montreal cognitive assessment scale，MoCA）재경도인지공능장애（ mild cognitive impairment，MCI）진단중응용적가행성。방법：선택MCI환자58례（ MCI조），령선동기건강체검자51례（대조조）。분별급여MoCA화간역지능상태검사량표（ MMSE）평고，병분석평고결과。결과：MCI조Mo－CA총분급MMSE총분균저우대조조（t＝－10．544，－16．188；P＜0．01）。여대조조비교，MCI조MoCA총분급각아항평분명현강저（ t＝－7．625，－4．614，－5．306，－7．505，－5．991，－7．405，－3．020；P＜0．01）。 MoCA진단MCI적민감성위96．55％，특이성위76．47％，MMSE진단MCI적민감성위55．17％，특이성위96．07％。결론：MoCA용우MCI진단시민감성우우MMSE，능전면평고MCI환자적인지공능。
Objective:To study the application of Beijing version Montreal cognitive assessment scale ( MoCA) in diagnosis of mild cognitive impairment in elderly patients.Methods:Fifty-eight patients with MCI and fifty-one healthy subjects were examined with neuropsychological tests using MoCA and Mini-mental state examination( MMSE) .Results:The total scores of MoCA and MMSE in the MCI group were significantly lower than the scores in the control group(t=-10.544,-16.188;P<0.01).The sub-item scores on the MoCA scale were significantly lower in MCI group than in control group ( t =-7.625,-4.614,-5.306,-7.505,-5.991,-7.405,-3.020;P<0.01).The sensitivity and specificity of MoCA and MMSE scales were 96.55%and 76.47%,55.17%and 96.07%,respectively,for the detection of MCI. Conclusion:The sensitivity of MoCA is higher than that of MMSE in assessment of MCI .It can be used to assess cognitive function in patients with MCI comprehensively.