蒙特利尔认知评估量表在轻度认知损害诊断中的应用分析
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摘要
轻度认知损害(mild cognitive impairment,MCI)是AD的早期阶段,其是介于正常衰老和老年痴呆(阿尔茨默海病Alzheimer's disease,AD)之间的一种中间过渡临床状态,向AD的转化率是正常人的10倍,及时、准确的筛查和诊断MCI对防治AD有重要意义。蒙特利尔认知评估量表(Montreal Cognitive Assessment,MoCA)在MCI诊断中具有重要作用,本文将对MoCA量表的应用状况、内容特点、考评分析及优缺点等情况进行综述,以期促进该量表在国内的进一步研究与应用。
Mild cognitive impairment(MCI) is the early stage of AD, which is a kind of intermediate transition condition between normal aging and senile dementia(Alzheimer's disease, AD) and has a 10 times higher incidence that converts to AD than healthy person, so timely and accurate MCI screening and diagnosis is important to the prevention and treatment of AD. Montreal Cognitive Assessment(MoCA) plays an important role in MCI diagnosis, so this article will review the application status, content characteristics, evaluation analysis and advantages and disadvantages of MoCA, in order to promote its interiorly research and application.
Mild cognitive impairment(MCI) is the early stage of AD, which is a kind of intermediate transition condition between normal aging and senile dementia(Alzheimer's disease, AD) and has a 10 times higher incidence that converts to AD than healthy person, so timely and accurate MCI screening and diagnosis is important to the prevention and treatment of AD. Montreal Cognitive Assessment(MoCA) plays an important role in MCI diagnosis, so this article will review the application status, content characteristics, evaluation analysis and advantages and disadvantages of MoCA, in order to promote its interiorly research and application.
引文
[1]Alzheimer's Association.2011 Alzheimer's disease facts and figures[J].Alzheimers Dement,2011,7(2):208-244.
[2]MetLife.Market Survey of Long-Term Care Costs:The 2009MetLife Market Survey of Nursing Home,Assisted Living,Adult Day Services and Home Care Costs[R].MetLife Mature Market Institute,2009.
[3]Peterson RC,Thomas RG,Grundman M,et al,Vitamin E anddonepezil for the treatment of mild cognitive impairment[J].N Engl J Med,2005,352(23):2379-2388.
[4]高中宝,王炜,赵杏丽.老年轻度认知功能损害患者认知水平的随访研究[J].中华医学杂志,2011,91(1):37-39.
[5]Nasreddine ZS,Phillips NA,Bédirian V,et al.The Montreal Cognitive Assessment,MoCA:a brief screening tool for mild cognitive impairment[J].J Am Geriatr Soc,2005,53(4):695-699.
[6]Folstein MF,Folstein SE,McHugh PR,"Mini-mental state".A practical method for grading the cognitive state of patients for the clinician[J].J Psychiatr Res,1975,12(3):189-198.
[7]阿拉腾巴根,刘相辰,赵丽珍.MoCA量表的临床应用研究进展[J].内蒙古医学杂志,2014,46(4):429-432.
[8]高欣,邹晨双,段春波,等.蒙特利尔认知评估量表在北京社区老年人遗忘型轻度认知障碍筛查中的应用[J].中国神经免疫学和神经病学杂志,2014,21(4):250-253,
[9]贾功伟,宋琦,殷樱,等.蒙特利尔认知评估量表在重庆地区应用的初步研究[J].神经损伤与功能重建,2008,3(1):41-43.
[10]张艳霞.轻度认知功能障碍的筛查工具评价[J].中国老年保健医学杂志,2009,7(5):29.
[11]Lee JY,Dong Woo Lee,Cho SJ,et al.Brief screening for mild cognitive impairment in elderly outpatient clinic:validation of the Korean version of the Montreal Cognitive Assessment[J].J Geriatr Psychiatry Neurol,2008,21(2):104-110.
[12]Smith T,Gildeh N,Holmes C.The Montreal Cognitive Assessment:validity and utility in a memory clinic setting[J].Can J Psychiatry,2007,52(5):329-332.
[13]易刚,肖军,唐娟娟.蒙特利尔认知评估量表在成都市社区老年人轻度认知功能障碍筛查中的应用分析[J].中国临床心理学杂志,2011,19(2):203-204.
[14]靳慧,丁斌蓉,杨霞,等.北京版MoCA在长沙地区缺血性脑血管病人群中的应用及长沙版MoCA的形成[J].中国神经精神疾病杂志,2011,37(6):349-353.
[15]王炜,刘丹丹,高中宝,等.蒙特利尔认知评估量表(中文版)在驻京军队离退休干部中界值划分的初步研究[J].中华保健医学杂志,2010,12(4):271-273.
[16]方旭明,刘芳,朱英武,等.贵阳市农村老年人轻度认知功能障碍筛查[J].贵阳医学院学报,2014,39(4):566-568.
[17]张旺信,李翠萍,田芳,等.蒙特利尔认知评估量表(北京版)筛查农村老年人轻度认知障碍的价值[J].中国老年学杂志,2015,35(14):4016-4018.
[18]朱文佳,高中宝,杨磊,等.蒙特利尔认知评估量表筛查轻度认知功能障碍分界值的研究[J].中华老年心脑血管病杂志,2012,14(5):500-502.
[19]何建明.蒙特利尔认知评估表与简易精神状态检查评定老年人轻度认知功能障碍的比较[J].中华老年医学杂志,2010,29(6):510-511.
[20]袁正洲,李作孝,马勋泰,等.长沙版蒙特利尔认知评估量表在老年轻度认知障碍筛查中的应用[J].西部医学,2014,26(6):741-744.
[21]张雪晴,曾慧.蒙特利尔认知评估量表在老年人轻度认知功能障碍筛查中的截断值分层研究[J].中国全科医学,2014,17(26):3046-3051.
[22]姚燕,杨芳,王丽娟,等.蒙特利尔认知评估量表在轻度认知功能障碍诊断中的应用[J].吉林大学学报,2012,38(4):730-734.
[23]陈宁,何俐.蒙特利尔认知评估(MoCA)的研究和应用概况[J].中国神经精神疾病杂志,2009,35(10):632-634.
[24]Popovi6 IM,Seric V,Demarin V.Mild cognitive impairment in symptomatic and a symptomatic cerebrovascular disease[J].J Neurol Sci,2007,257(1-2):185-193.
[25]高中宝,王炜,赵杏丽,等.老年轻度认知功能损害患者认知水平的随访研究[J].中华医学杂志,2011,91(1):37-39.
[26]Brunnstrom H,Gustafson L,Passant U,et al.Prevalence of de-mentia subtypes:a 30-year retrospective survey of neuropathological reports[J].Arch Gerontol Geriatr,2009,49(1):146-149.
[27]冯荣芳,刘惠卿,贾艳丽.MMSE和MoCA在不同类型轻度认知障碍筛查中的应用[J].脑与神经疾病杂志,2015,23(5):321-325.
[28]余忠海.轻度认知障碍辨证分型的规范化及其与认知功能水平的相关性研究[D].复旦大学,2013.
[2]MetLife.Market Survey of Long-Term Care Costs:The 2009MetLife Market Survey of Nursing Home,Assisted Living,Adult Day Services and Home Care Costs[R].MetLife Mature Market Institute,2009.
[3]Peterson RC,Thomas RG,Grundman M,et al,Vitamin E anddonepezil for the treatment of mild cognitive impairment[J].N Engl J Med,2005,352(23):2379-2388.
[4]高中宝,王炜,赵杏丽.老年轻度认知功能损害患者认知水平的随访研究[J].中华医学杂志,2011,91(1):37-39.
[5]Nasreddine ZS,Phillips NA,Bédirian V,et al.The Montreal Cognitive Assessment,MoCA:a brief screening tool for mild cognitive impairment[J].J Am Geriatr Soc,2005,53(4):695-699.
[6]Folstein MF,Folstein SE,McHugh PR,"Mini-mental state".A practical method for grading the cognitive state of patients for the clinician[J].J Psychiatr Res,1975,12(3):189-198.
[7]阿拉腾巴根,刘相辰,赵丽珍.MoCA量表的临床应用研究进展[J].内蒙古医学杂志,2014,46(4):429-432.
[8]高欣,邹晨双,段春波,等.蒙特利尔认知评估量表在北京社区老年人遗忘型轻度认知障碍筛查中的应用[J].中国神经免疫学和神经病学杂志,2014,21(4):250-253,
[9]贾功伟,宋琦,殷樱,等.蒙特利尔认知评估量表在重庆地区应用的初步研究[J].神经损伤与功能重建,2008,3(1):41-43.
[10]张艳霞.轻度认知功能障碍的筛查工具评价[J].中国老年保健医学杂志,2009,7(5):29.
[11]Lee JY,Dong Woo Lee,Cho SJ,et al.Brief screening for mild cognitive impairment in elderly outpatient clinic:validation of the Korean version of the Montreal Cognitive Assessment[J].J Geriatr Psychiatry Neurol,2008,21(2):104-110.
[12]Smith T,Gildeh N,Holmes C.The Montreal Cognitive Assessment:validity and utility in a memory clinic setting[J].Can J Psychiatry,2007,52(5):329-332.
[13]易刚,肖军,唐娟娟.蒙特利尔认知评估量表在成都市社区老年人轻度认知功能障碍筛查中的应用分析[J].中国临床心理学杂志,2011,19(2):203-204.
[14]靳慧,丁斌蓉,杨霞,等.北京版MoCA在长沙地区缺血性脑血管病人群中的应用及长沙版MoCA的形成[J].中国神经精神疾病杂志,2011,37(6):349-353.
[15]王炜,刘丹丹,高中宝,等.蒙特利尔认知评估量表(中文版)在驻京军队离退休干部中界值划分的初步研究[J].中华保健医学杂志,2010,12(4):271-273.
[16]方旭明,刘芳,朱英武,等.贵阳市农村老年人轻度认知功能障碍筛查[J].贵阳医学院学报,2014,39(4):566-568.
[17]张旺信,李翠萍,田芳,等.蒙特利尔认知评估量表(北京版)筛查农村老年人轻度认知障碍的价值[J].中国老年学杂志,2015,35(14):4016-4018.
[18]朱文佳,高中宝,杨磊,等.蒙特利尔认知评估量表筛查轻度认知功能障碍分界值的研究[J].中华老年心脑血管病杂志,2012,14(5):500-502.
[19]何建明.蒙特利尔认知评估表与简易精神状态检查评定老年人轻度认知功能障碍的比较[J].中华老年医学杂志,2010,29(6):510-511.
[20]袁正洲,李作孝,马勋泰,等.长沙版蒙特利尔认知评估量表在老年轻度认知障碍筛查中的应用[J].西部医学,2014,26(6):741-744.
[21]张雪晴,曾慧.蒙特利尔认知评估量表在老年人轻度认知功能障碍筛查中的截断值分层研究[J].中国全科医学,2014,17(26):3046-3051.
[22]姚燕,杨芳,王丽娟,等.蒙特利尔认知评估量表在轻度认知功能障碍诊断中的应用[J].吉林大学学报,2012,38(4):730-734.
[23]陈宁,何俐.蒙特利尔认知评估(MoCA)的研究和应用概况[J].中国神经精神疾病杂志,2009,35(10):632-634.
[24]Popovi6 IM,Seric V,Demarin V.Mild cognitive impairment in symptomatic and a symptomatic cerebrovascular disease[J].J Neurol Sci,2007,257(1-2):185-193.
[25]高中宝,王炜,赵杏丽,等.老年轻度认知功能损害患者认知水平的随访研究[J].中华医学杂志,2011,91(1):37-39.
[26]Brunnstrom H,Gustafson L,Passant U,et al.Prevalence of de-mentia subtypes:a 30-year retrospective survey of neuropathological reports[J].Arch Gerontol Geriatr,2009,49(1):146-149.
[27]冯荣芳,刘惠卿,贾艳丽.MMSE和MoCA在不同类型轻度认知障碍筛查中的应用[J].脑与神经疾病杂志,2015,23(5):321-325.
[28]余忠海.轻度认知障碍辨证分型的规范化及其与认知功能水平的相关性研究[D].复旦大学,2013.