摘要
目的:调查某社区帕金森患者轻度认知障碍(MIC),抑郁、焦虑的发生率。分析轻度认知障碍及抑郁发生的影响因素。方法:对五华县河东镇五家医院107例门诊、住院帕金森病患者进行蒙特利尔认知评估(MoCA)简易精神状态表(MMSE)及神经心理量表、汉密顿抑郁量表(HRSD)、焦虑量表(HAMA)测试,统一帕金森评分量表(UPDRS),统计MIC、抑郁、焦虑的发生率。结果:MoCA评价认识功能障碍发生率为82.2%,抑郁、焦虑的发生率为65%,48%。轻度认知障碍发生以抑郁、焦虑程度有关。但其影响因素有教育、病情严重程度、年龄,而抑郁、焦虑的影响无统计学意义。结论:帕金森患者多合并轻度认知障碍及抑郁、焦虑情绪。MoCA对轻度认知障碍的评价有较高的敏感性。
Objective：To investigate the incidence of mild congitive deficits and motional deficits in guangzhou, and analyse the influence of the factor on MIC, depression. Method： A total of 107 PD patients was drawn randomly in five hospitals , had completed MoCA, MMSE, neuropsychological tests （NPT） , Hamilton Depression Scal（ HRSD ）, Hamilton Anxiety Scale （ HAMA ）. The incidence of MIC, dpression, anxiety was analysed. Result： The incidence of MIC,depression,anxiety was 82.2% ,65% ,48%. MIC was correlati to depression and anxiety. The factors that influence the MIC was education level,UPDRS and age. Conclusion： Most of Parkinson＇s disease patients had congitive deficits, and depression, anxiety. MIC is difficult to be found by MMSE, MoCA is a breif congition screening tool with high sensitivity for detecting MIC in PD patients, but not to make formal diagnose.
出处
《河北医学》
CAS
2009年第5期579-582,共4页
Hebei Medicine
关键词
帕金森病
蒙特利尔认知评估
认知障碍
抑郁
焦虑
Parkinson＇s disease
Montreal congitive assessment
Congitive disorders
Depression
Anxiety
