摘要
目的 了解上海城乡 5 5岁及以上居民简易智能筛查量表 (mini mentalstateexamination ,MMSE)分布特征 ,为制定合适的MMSE筛查分界值提供科学依据。方法 对上海市 10个区 (县 )居民采用分层多级整群抽样方法确定调查对象 ,抽样单位中的全部 5 5岁及以上符合入选条件的居民共 170 18。调查采取二阶段法。结果 完成测试的 15 90 4名居民MMSE分布 ,结果显示各教育程度及各年龄段的第 10百分位数和均值比国内其他报道高出 1～ 2分 ,MMSE分界值 60岁第10个百分位数文盲组≤ 2 1分、小学组≤ 2 5分、初中及以上组≤ 2 8分。影响MMSE得分的因素依次为教育 ,年龄和性别 ,受高等教育的居民MMSE测试成绩在不同年龄、性别和城乡间的差别较小 ,教育程度对上海城、乡居民MMSE影响的差异( 0 99和 1 5 6)较北京小 ( 0 89和 2 0 8)。结论 MMSE得分是判断认知功能是否正常的非特异性指标 ,MMSE分界值标准的选择需根据情况作适当的调整 ,有助于早期发现痴呆病人 ,减少漏诊。
Objective To study the distribution of mini mental state examination(MMSE) scores in terms of age and educational level in Shanghai residents aged 55 years and over and to offer a benchmark for a cutoff score. Methods A total of 1015 residents aged 55 and over were drawn by means of stratified multistage cluster sampling in urban and rural areas of Shanghai. Multiple regression model was used to assess the influence of the factors on MMSE score in our urban and rural population. Results We found the bivariate correlation between MMSE score and all three factors of age, sex and educational level( P <0 01)。 The optimal cutoff values were taken from the 10 th percent lowest score in the age group of 60 to 65 years for each education level: illiterate≤20, elementary≤25 and high ≤28. It is higher than other studies. Conclusions The MMSE scores should be used to identify current cognitive impairment and not to make formal diagnoses.
出处
《中国神经精神疾病杂志》
CAS
CSCD
北大核心
2000年第2期71-74,共4页
Chinese Journal of Nervous and Mental Diseases
基金
国家"九五"攻关课题!(项目编号 :96 90 6 0 5 1 1 )
关键词
老年性痴呆
认知功能
影响因素
MMSE
Dementia Senile\ Mini mental state examination(MMSE)\ Cognitive factors
