浏览全部资源
扫码关注微信
中文版认知障碍简要测试量表与简易精神状态检查量表在脑卒中患者认知评估中的比较分析
Comparative analysis of brief assessment of impaired cognition (Chinese version) and mini mental state examination scales in cognitive assessment of stroke patients
- 重庆医科大学学报 2021年46卷第11期 页码：1310-1314
- 作者机构：
常州市第一人民医院康复医学科，常州 213000
- 作者简介：
[ "史悦，Email：1187130314@qq.com，研究方向：认知康复。" ]
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.002918
中图分类号： R493纸质出版日期：2021-11-28，
收稿日期：2021-06-30，
扫 描 看 全 文
史悦, 高小夏, 谈笑, 等. 中文版认知障碍简要测试量表与简易精神状态检查量表在脑卒中患者认知评估中的比较分析[J]. 重庆医科大学学报, 2021,46(11):1310-1314.
Yue Shi, Xiaoxia Gao, Xiao Tan, et al. Comparative analysis of brief assessment of impaired cognition (Chinese version) and mini mental state examination scales in cognitive assessment of stroke patients[J]. Journal of Shanxi Agricultural Sciences, 2021,46(11):1310-1314.
史悦, 高小夏, 谈笑, 等. 中文版认知障碍简要测试量表与简易精神状态检查量表在脑卒中患者认知评估中的比较分析[J]. 重庆医科大学学报, 2021,46(11):1310-1314. DOI： 10.13406/j.cnki.cyxb.002918.
Yue Shi, Xiaoxia Gao, Xiao Tan, et al. Comparative analysis of brief assessment of impaired cognition (Chinese version) and mini mental state examination scales in cognitive assessment of stroke patients[J]. Journal of Shanxi Agricultural Sciences, 2021,46(11):1310-1314. DOI： 10.13406/j.cnki.cyxb.002918.
摘要
目的：
2
比较简易精神状态检查量表（mini mental state examination，MMSE）和中文版认知障碍简要测试量表（brief assessment of impaired cognition，BASIC）在脑卒中患者认知测评中的表现，为临床使用提供理论参考。
方法：
2
纳入常州市第一人民医院2020年5月至2021年1月97例卒中中心住院的脑卒中患者作为脑卒中组，另选择40例年龄、性别和受教育程度相匹配的健康体检个体作为对照组，由经培训的康复医师对所有受试对象进行MMSE和BASIC测评，比较分析两者的测评结果。
结果：
2
①与对照组相比，脑卒中组MMSE和BASIC得分明显下降，说明脑卒中后患者认知功能显著受损。②脑卒中组MMSE和BASIC总分呈明显正相关（
r
=0.662，
P
=0.000）。③直线相关提示年龄与MMSE（
r
=-0.324，
P
=0.001）和BASIC（
r
=-0.401，
P
=0.000）均呈负相关。教育年限则与MMSE（
r
=0.349，
P
=0.000）和BASIC（
r
=0.378，
P
=0.000）均呈正相关。多元线性回归提示MMSE结果不受年龄影响。④MMSE和BASIC无显著天花板和地板效应。⑤Kappa分析显示两量表在评估脑卒中患者认知功能障碍时一致性一般（Kappa=0.286，
P
=0.005）。⑥受试者工作曲线提示，MMSE和BASIC曲线下面积无明显差异，MMSE和BASIC的最佳截值分别为27.5和20.5。
结论：
2
BASIC量表衰减效应低、操作耗时短，可作为脑卒中后认知功能障碍的早期快速筛查工具，但应用于老年高文化程度患者时需酌情分析结果。
Abstract
Objective
:
2
To compare the performance of mini mental state examination (MMSE) and Chinese version of brief assessment of impaired cognition (BASIC) in the cognitive assessment of patients with stroke
so as to provide theoretical reference for clinical use.
Methods
:
2
A total of 97 patients with stroke hospitalized in The First People's Hospital of Changzhou from May 2020 to January 2021 were selected as the stroke group
and another 40 healthy individuals matched with age
sex and education level were selected as the control group. All subjects were assessed by trained rehabilitation physicians for MMSE and BASIC
and the results were compared and analyzed.
Results
:
2
①Compared with the control group
the scores of MMSE and BASIC in the stroke group decreased significantly
indicating that the cognitive function of patients with stroke was significantly impaired. ②The results of MMSE and BASIC in the stroke group were positively correlated (
r
=0.662
P
=0.000). ③Linear correlation suggested that age was negatively correlated with MMSE (
r
=-0.324
P
=0.001) and BASIC (
r
=-0.401
P
=0.000)
while education years were positively correlated with MMSE (
r
=0.349
P
=0.000) and BASIC (
r
=0.378
P
=0.000). However
multiple linear regression showed that the results of MMSE were not affected by age.④MMSE and BASIC had no significant ceiling and floor effects.⑤Kappa analysis showed that the consistency of the two scales in screening for cognitive dysfunction in stroke patients was fair (Kappa=0.286
P
=0.005). ⑥The receiver operating characteristic curve showed that there was no significant difference in the areas under the curve between MMSE and BASIC. The best cut-off values of MMSE and BASIC were 27.5 and 20.5
respectively.
Conclusion
:
2
BASIC scale has low attenuation effect and short operation time
which can be used as an early rapid screening tool for cognitive dysfunction after stroke. However
it is necessary to further improve its assessment accuracy and pay attention to the selection of the assessment population.
关键词
脑卒中认知障碍简易精神状态检查认知障碍简要测试量表年龄教育水平
Keywords
strokecognitive impairmentmini mental state examinationbrief assessment of impaired cognitionageeducational level
references
Delavaran H, Jönsson AC, Lövkvist H, et al. Cognitive function in stroke survivors: a 10-year follow-up study[J]. Acta Neurol Scand, 2017, 136(3):187-194.
Dong YH, Venketasubramanian N, Chan BP, et al. Brief screening tests during acute admission in patients with mild stroke are predictive of vascular cognitive impairment 3-6 months after stroke[J]. J Neurol Neurosurg Psychiatry, 2012, 83(6):580-585.
Pendlebury ST, Mariz J, Bull L, et al. MoCA, ACE-R, and MMSE versus the National Institute of Neurological Disorders and Stroke-Canadian Stroke Network Vascular Cognitive Impairment Harmonization Standards Neuropsychological Battery after TIA and stroke[J]. Stroke, 2012, 43(2):464-469.
Ding YL, Niu JL, Zhang YR, et al. Informant questionnaire on cognitive decline in the elderly(IQCODE)for assessing the severity of dementia in patients with Alzheimer's disease[J]. BMC Geriatr, 2018, 18(1):146.
Breton A, Casey D, Arnaoutoglou NA. Cognitive tests for the detection of mild cognitive impairment(MCI), the prodromal stage of dementia: Meta-analysis of diagnostic accuracy studies[J]. Int J Geriatr Psychiatry, 2019, 34(2):233-242.
Galvin JE, Roe CM, Powlishta KK, et al. The AD8: a brief informant interview to detect dementia[J]. Neurology, 2005, 65(4):559-564.
McGovern A, Pendlebury ST, Mishra NK, et al. Test accuracy of informant-based cognitive screening tests for diagnosis of dementia and multidomain cognitive impairment in stroke[J]. Stroke, 2016, 47(2):329-335.
Jørgensen K, Nielsen TR, Nielsen A, et al. Brief assessment of impaired cognition(BASIC)-validation of a new dementia case-finding instrument integrating cognitive assessment with patient and informant report[J]. Int J Geriatr Psychiatry, 2019, 34(11):1724-1733.
Jørgensen K, Nielsen TR, Nielsen A, et al. Validation of the brief assessment of impaired cognition and the brief assessment of impaired cognition questionnaire for identification of mild cognitive impairment in a memory clinic setting[J]. Int J Geriatr Psychiatry, 2020, 35(8):907-915.
Yuan XF, Zhang Y, Zhang Y, et al. Reliability and validity of the brief assessment of impaired cognition(Chinese version)for stroke patients[J]. Appl Neuropsychol Adult, 2021, 2021:1-7.
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.
汪凯, 董强. 卒中后认知障碍管理专家共识2021[J]. 中国卒中杂志, 2021, 16(4):376-389.
Winstein CJ, Stein J, Arena R, et al. Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association[J]. Stroke, 2016, 47(6):e98-e169.
Nys GM, van Zandvoort MJ, de Kort PL, et al. Restrictions of the mini-mental state examination in acute stroke[J]. Arch Clin Neuropsychol, 2005, 20(5):623-629.
Barbay M, Diouf M, Roussel M, et al. Systematic review and Metaanalysis of prevalence in post-stroke neurocognitive disorders in hospital-based studies[J]. Dement Geriatr Cogn Disord, 2018, 46(5/6):322-334.
Sexton E, McLoughlin A, Williams DJ, et al. Systematic review and Meta-analysis of the prevalence of cognitive impairment no dementia in the first year post-stroke[J]. Eur Stroke J, 2019, 4(2):160-171.
Crum RM, Anthony JC, Bassett SS, et al. Population-based norms for the mini-mental state examination by age and educational level[J]. JAMA, 1993, 269(18):2386-2391.
Shi D, Chen X, Li Z. Diagnostic test accuracy of the Montreal cognitive assessment in the detection of post-stroke cognitive impairment under different stages and cutoffs: a systematic review and Metaanalysis[J]. Neurol Sci, 2018, 39(4):705-716.
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.
王姮, 石进, 张英谦, 等. 认知功能障碍患者的自知力损害研究[J]. 神经损伤与功能重建, 2011, 6(6):423-426.
0
浏览量
0
下载量
0
CSCD
- 网络PDF下载
- XML下载
- Meta-XML下载
- BibTeX下载
- Endnote下载
- RefMan 下载
- NoteExpress下载
- NoteFirst下载
关联资源
相关文章
相关作者
相关机构
- 技术支持由北京北大方正电子有限公司提供 京ICP备09064830号-19
京公网安备11010802024621 - 本系统建议在Chrome、 IE9+ 以上版本浏览器阅读本站内容，360浏览器请切换至极速模式
- Cookies帮助我们提供服务并提供个性化体验。使用本网站，即表示您同意我们使用Cookies
