老年CCCI患者情绪\认知功能评价及相关性研究(1)
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摘要：目的 评价老年慢性脑缺血患者(CCCI)情绪和认知功能状态,探讨其相关性。方法 用蒙特利尔认知评估量表(MoCA)、正性负性情绪量表(PANAS)对69例前循环CCCI，57例后循环CCCI患者进行分组测试，并与90名健康老人比较，采用线性回归分析情绪与认知功能损伤的相关性。结果 CCCI患者认知功能损伤检出率和严重程度均显著高于健康老人(P<0.01)，认知功能损伤主要表现在视空间执行能力、言语流畅性和延时记忆三个领域。CCCI患者负性情绪(NA)较健康老人明显增高，正性情绪(PA)明显下降(P<0.01)，情绪与认知功能损伤密切相关(P<0.01)。结论 NA是认知功能损伤的高危因素，PA则是认知功能的保护性因素。老年CCCI患者存在较为明显的认知功能损伤和情绪障碍，情绪障碍与认知功能损伤存在关联。
关键词：慢性脑供血不足；老年人；情绪；认知障碍；蒙特利尔认知评估量表
中图分类号：R743 R255.2 文献标识码：B 文章编号：1672-1349(2011)08-0959-03
Assessment of Emotions and Cognitive Functions in Elderly with Chronic Cerebral Circulation Insufficiency
Wu Jiansong，Huang Zhaotong，Yan Tao，et al
Emergency Department，General Hospital of the Second Artillery (Beijing 100088)
Abstract:Objective To evaluate the emotions and cognitive functions in the elderly patients (pts) with chronic cerebral circulation insufficiency (CCCI)，and explore the relationship between them.Methods Sixty-nine elderly pts with vertebrobasilar CCCI and 57 pts with internal carotid arterial CCCI were evaluated by Montreal cognitive assessment(MoCA)and positive and negative affect schedule (PANAS).Ninety elderly subjects were as the controls.The relationship between emotions and cognitive impairment was analyzed by linear regression.Results The detection ratio and the severity of cognitive impairment in pts were higher than those in healthy controls(P<0.01).The cognitive impairment of CCCI manifested mainly as spaces executive function ......
摘要：目的 评价老年慢性脑缺血患者(CCCI)情绪和认知功能状态,探讨其相关性。方法 用蒙特利尔认知评估量表(MoCA)、正性负性情绪量表(PANAS)对69例前循环CCCI，57例后循环CCCI患者进行分组测试，并与90名健康老人比较，采用线性回归分析情绪与认知功能损伤的相关性。结果 CCCI患者认知功能损伤检出率和严重程度均显著高于健康老人(P<0.01)，认知功能损伤主要表现在视空间执行能力、言语流畅性和延时记忆三个领域。CCCI患者负性情绪(NA)较健康老人明显增高，正性情绪(PA)明显下降(P<0.01)，情绪与认知功能损伤密切相关(P<0.01)。结论 NA是认知功能损伤的高危因素，PA则是认知功能的保护性因素。老年CCCI患者存在较为明显的认知功能损伤和情绪障碍，情绪障碍与认知功能损伤存在关联。
关键词：慢性脑供血不足；老年人；情绪；认知障碍；蒙特利尔认知评估量表
中图分类号：R743 R255.2 文献标识码：B 文章编号：1672-1349(2011)08-0959-03
Assessment of Emotions and Cognitive Functions in Elderly with Chronic Cerebral Circulation Insufficiency
Wu Jiansong，Huang Zhaotong，Yan Tao，et al
Emergency Department，General Hospital of the Second Artillery (Beijing 100088)
Abstract:Objective To evaluate the emotions and cognitive functions in the elderly patients (pts) with chronic cerebral circulation insufficiency (CCCI)，and explore the relationship between them.Methods Sixty-nine elderly pts with vertebrobasilar CCCI and 57 pts with internal carotid arterial CCCI were evaluated by Montreal cognitive assessment(MoCA)and positive and negative affect schedule (PANAS).Ninety elderly subjects were as the controls.The relationship between emotions and cognitive impairment was analyzed by linear regression.Results The detection ratio and the severity of cognitive impairment in pts were higher than those in healthy controls(P<0.01).The cognitive impairment of CCCI manifested mainly as spaces executive function ......
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