MMSE和MoCA测试对颅脑损伤患者行为记忆障碍的预测价值

张佳楠; 高小夏; 张瑜; 王涯; 袁晓芳; 史悦; 郭婧; 费啸

doi:10.13406/j.cnki.cyxb.002916

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MMSE和MoCA测试对颅脑损伤患者行为记忆障碍的预测价值

认知障碍心理评估 | 更新时间：2022-06-24

- MMSE和MoCA测试对颅脑损伤患者行为记忆障碍的预测价值
- Prediction of behavioral memory impairments among brain injury patients using the mini-mental state examination and Montreal cognitive assessment scale
- 重庆医科大学学报 2021年46卷第11期页码：1315-1319
- 作者机构：
  
  常州市第一人民医院康复医学科，常州　213003
- 作者简介：
  
  [ "张佳楠，Email：Zjn1126i@163.com，研究方向：颅脑损伤、认知康复评定。" ]
  高小夏，主任医师。中国老年医学会认知障碍分会第一届委员会神经心理量表评估学术工作委员会委员、中国康复医学会重症康复专业委员会委员、江苏省康复医学会第三届康复医学教育专业委员会委员、江苏省康复医学会吞咽障碍康复与营养管理专委会委员、常州市老年学学会会员；主持市级课题1项，参与国家级课题1项，发表中英文文章十余篇。Email：13861277968@139.com。
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.002916
  中图分类号： R493
- 纸质出版日期：2021-11-28，
  
  收稿日期：2021-07-06，
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张佳楠, 高小夏, 张瑜, 等. MMSE和MoCA测试对颅脑损伤患者行为记忆障碍的预测价值[J]. 重庆医科大学学报, 2021,46(11):1315-1319.

Jianan Zhang, Xiaoxia Gao, Yu Zhang, et al. Prediction of behavioral memory impairments among brain injury patients using the mini-mental state examination and Montreal cognitive assessment scale[J]. Journal of Shanxi Agricultural Sciences, 2021,46(11):1315-1319.
张佳楠, 高小夏, 张瑜, 等. MMSE和MoCA测试对颅脑损伤患者行为记忆障碍的预测价值[J]. 重庆医科大学学报, 2021,46(11):1315-1319. DOI： 10.13406/j.cnki.cyxb.002916.

Jianan Zhang, Xiaoxia Gao, Yu Zhang, et al. Prediction of behavioral memory impairments among brain injury patients using the mini-mental state examination and Montreal cognitive assessment scale[J]. Journal of Shanxi Agricultural Sciences, 2021,46(11):1315-1319. DOI： 10.13406/j.cnki.cyxb.002916.

摘要

目的：

研究分析认知筛查量表在颅脑损伤患者中对行为记忆障碍的预测功效。

方法：

58名颅脑损伤患者接受简易智力状况检查量表（mini-mental state examination，MMSE）、蒙特利尔认知评估量表（Montreal cognitive assessment scale，MoCA）及Rivermead行为记忆测验（第三版）（Rivermead behavioural memory test-third edition，RBMT-3）3种认知量表测试，对测试结果进行分析比较。

结果：

行为记忆（RBMT-3得分）与MMSE子项目中注意力和计算（MMSE-AC：

=0.007，

=0.371）以及回忆（MMSE-Re：

=0.016，

=0.352）显著相关，MMSE两个子项目得分之和以及MMSE总分对行为记忆障碍均具备中间预测价值（AUC=0.845、0.793）。行为记忆与MoCA子项目中视空间/执行（MoCA-VE：

=0.004，

=0.278）、语言（MoCA-L：

=0.003，

=0.250）、延迟回忆（MoCA-DR：

0.001，

=0.479）和定向（MoCA-O：

=0.002，

=0.240）存在显着相关性，MoCA四个子项目得分之和以及MoCA总分对于行为记忆障碍具有高预测值（AUC=0.953、0.938），当MoCA四个子项目得分低于13.5，或总分低于24.5提示患者行为记忆障碍可能。

结论：

可以根据颅脑损伤患者MMSE或MoCA得分预判行为记忆障碍，其中MoCA的诊断价值更高。

Abstract

Objective

To study and analyze the predictive effect of cognitive screening scale on behavioral memory impairments in patients with brain injury.

Methods

A total of 58 brain injury patients were included in the study. Each patient completed the minimental state examination (MMSE)

Montreal cognitive assessment scale (MoCA)

and Rivermead behavioural memory test-third edition (RBMT-3)

and the results were analyzed and compared.

Results

Behavioral memory (RBMT-3 score) was significantly related to attention and calculation (MMSE-AC:

=0.007

=0.371) and recall (MMSE-Re:

=0.016

=0.352) in the MMSE sub-items. The sum of the scores of each sub-item and the total score of the MMSE scale had intermediate predictive value for behavioral memory impairments (AUC=0.845

0.793). Behavioral memory and visual space/execution (MoCA-VE:

=0.004

=0.278)

language (MoCA-L:

=0.003

=0.250)

delayed recall (MoCA-DR:

0.001

=0.479) and orientation (MoCA-O:

=0.002

=0.240) were significantly correlated. The sum of the scores of the four sub-items of MoCA and the total score of the MoCA scale had high levels of behavioral memory impairments (AUC=0.953

0.938). When the score of the four sub-items of MoCA was lower than 13.5

or the total score was lower than 24.5

it indi cated that the patient could have behavioral memory impairments.

Conclusion

The behavioral memory impairments can be predicted based on the scores of MMSE or MoCA scale in patients with brain injury

and the diagnostic value of MoCA scale is higher.

关键词

颅脑损伤行为记忆障碍简易精神状态评价量表蒙特利尔认知评估量表Rivermead行为记忆测验（第三版）

Keywords

brain injurybehavioral memory impairmentmini-mental state examinationMontreal cognitive assessment scaleRivermead behavioural memory test-third edition

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