摘要
目的： 研究中文版简易精神状态检查（ＣＭＭＳＥ） 在成都市不同区域５５周岁及以上人群中的应用及差异。方法：采用随机整群抽样方法从成都市五城区中抽取两个区，然后再从城中心和城郊场镇中各抽取２～３个居委会，并从两区所辖的农村抽取一个村进行调查。调查分为筛查和复查诊断两阶段。筛查用ＣＭＭＳＥ作筛查工具，复查诊断则用Ｐｆｅｆｆｅｒ功能活动量表和一组神经心理测验。结果： １２０１人完成了ＣＭＭＳＥ评定。发现男性ＣＭＭＳＥ评分显著高于女性， 城中心区被试者ＣＭＭＳＥ评分显著高于城郊场镇及农村被试者。在对文化程度的影响作校正后， 三组被试者ＣＭＭＳＥ评分差异仍有显著性。ＣＭＭＳＥ作为痴呆筛查工具对痴呆患者有较好的敏感性 （８９．７％ ） 和良好的特异性（９５．６％ ）， 而对认知功能损害的敏感性稍差（８４．６％ ）。学历、年龄、性别和日常生活功能对ＣＭＭＳＥ评分有显著影响。结论： 简易精神状态检查（ＭＭＳＥ） 是一简便、快捷， 在国内外应用广泛的痴呆筛查工具。但在设定ＭＭＳＥ认知损害划界分时， 除要注意受教育程度外， 应把不同的生活工作环境对ＭＭＳＥ评分的影响作为一重要因素加以考虑。
Objective:to study the difference of results of CMMSE in different districts of Chengdu Method:to select 3 samples randomly from Downtown,Satellite Town and Countryside of Chengdu respectively A two-stage survey was carried out with the samples The first was screen test using CMMSE,the second was carried out with Pfeffer Functional Activity Scalce and other neuropsychological tests Result:1201 subjects were screened by CMMSE The score of male subjects was higher significantly than that of female The score of subjects in Downtown was higher than that of subjects living in satellite town or countryside Controlled the influence of education,there was also difference among the three samples CMMSE had satisfying sensitivity(89 7%)and specificity(95 6%)as s screen instrument for dementia But it was less sensitive to cognitive impairment(sensitivity 84 6%) The results of CMMSE were affected by educational level,age,sex and activity of daily life Conclusion:it is necessary to consider the influence of living environment as well as education level when set the cut-off point of MMSE
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
1999年第4期200-202,共3页
Chinese Mental Health Journal
