认知能力评估量表包括哪些 应用蒙特利尔认知评估量表对老年人的认知能力进行测试,但是有老...

\u6c42\u8ba4\u77e5\u969c\u788d\u8bc4\u4ef7\u91cf\u8868

\u8ba4\u77e5\u969c\u788d\u8bc4\u4ef7\u91cf\u8868


\u4e00\u3001\u7528\u4e8e\u75be\u75c5\u7b5b\u67e5\u548c\u8bca\u65ad\u7684\u91cf\u8868

1\u3001\u7b80\u6613\u667a\u529b\u72b6\u6001\u68c0\u67e5\u91cf\u8868\uff08MMSE\uff09\uff1aMMSE\u662f\u6700\u5177\u6709\u5f71\u54cd\u7684\u8ba4\u77e5\u529f\u80fd\u7b5b\u67e5\u5de5\u5177\uff0c\u5728\u56fd\u5185\u5916\u88ab\u5e7f\u6cdb\u4f7f\u7528\uff0c\u5177\u6709\u654f\u611f\u6027\u597d\uff0c\u6613\u64cd\u4f5c\u7b49\u4f18\u70b9\u3002MMSE\u4fe1\u5ea6\u826f\u597d\uff0c\u8054\u5408\u68c0\u67e5\u7684\u7ec4\u5185\u76f8\u5173\u7cfb\u6570\u4e3a0.99\uff0c\u76f8\u969448\uff0d72\u5c0f\u65f6\u91cd\u6d4b\uff0c\u7ec4\u5185\u76f8\u5173\u7cfb\u6570\u53ef\u8fbe0.91\u3002MMSE\u5177\u6709\u76f8\u5f53\u9ad8\u7684\u5e73\u884c\u6548\u5ea6\uff0c\u4e0eBlessed\u75f4\u5446\u91cf\u8868\u3001\u957f\u8c37\u5ddd\u75f4\u5446\u91cf\u8868\u3001\u65e5\u5e38\u751f\u6d3b\u6d3b\u52a8\u80fd\u529b\u91cf\u8868\u4ee5\u53caPfeffer\u529f\u80fd\u6d3b\u52a8\u91cf\u8868\u7684\u76f8\u5173\u7cfb\u6570\u4e5f\u8f83\u9ad8\uff0c\u4e0e\u97e6\u6c0f\u667a\u529b\u91cf\u8868\uff08Wechsler intelligence scale, WAIS\uff09\u7684\u5e73\u884c\u6548\u5ea6\u4e5f\u6bd4\u8f83\u597d\u3002\u56fd\u5185\u7814\u7a76\u8868\u660e\uff0c\u4ee5\u6587\u76f2\u7ec417/18\u5206\uff0c\u5c0f\u5b66\u7ec420/21\u5206\uff0c\u4e2d\u5b66\u4ee5\u4e0a\u7ec424/25\u5206\u4e3a\u5206\u754c\u503c\uff0cMMSE\u5728\u75f4\u5446\u7b5b\u67e5\u8bca\u65ad\u4e2d\u7684\u654f\u611f\u5ea6\u4e3a92.5%, \u7279\u5f02\u5ea6\u4e3a79.1\uff05\u3002\u4f46MMSE\u91cf\u8868\u4e5f\u6709\u5176\u7f3a\u70b9\uff1a\uff081\uff09\u53d7\u6559\u80b2\u7a0b\u5ea6\u7684\u5f71\u54cd\u5927\uff0c\u6559\u80b2\u7a0b\u5ea6\u9ad8\u7684\u8001\u4eba\u53ef\u80fd\u4f1a\u51fa\u73b0\u5047\u9634\u6027\uff0c\u6559\u80b2\u7a0b\u5ea6\u4f4e\u7684\u8001\u4eba\u53ef\u80fd\u4f1a\u51fa\u73b0\u5047\u9633\u6027\uff0c\u5bf9\u8f7b\u5ea6\u8ba4\u77e5\u529f\u80fd\u969c\u788d\u7684\u68c0\u51fa\u4e0d\u654f\u611f\u3002\uff082\uff09\u8bb0\u5fc6\u529b\u68c0\u67e5\u5982\u547d\u540d\u6d4b\u9a8c\u8fc7\u4e8e\u7b80\u5355\u3002\uff083\uff09\u53d7\u8bed\u8a00\u7684\u5f71\u54cd\u5927\uff0c\u64cd\u65b9\u8a00\u8005\u53ef\u80fd\u4f1a\u51fa\u73b0\u5047\u9633\u6027\u3002\uff084\uff09\u8bed\u8a00\u9879\u76ee\u5360\u7edd\u5927\u90e8\u5206\uff0c\u975e\u8bed\u8a00\u90e8\u5206\u9879\u76ee\u5c11\u3002

2\u3001\u957f\u8c37\u5ddd\u75f4\u5446\u91cf\u8868\uff08Hasegawa dementia scaale\uff0cHDS\uff09\uff1a\u4e8e20\u4e16\u7eaa80\u5e74\u4ee3\u521d\u5f15\u5165\u6211\u56fd\uff0c\u66fe\u5728WHO\u8bb2\u4e60\u73ed\u4e2d\u4ecb\u7ecd\uff0c\u56e0\u5176\u64cd\u4f5c\u65b9\u4fbf\uff0c\u4e2d\u65e5\u4e24\u56fd\u6587\u5316\u80cc\u666f\u76f8\u4eff\uff0c\u56e0\u800c\u5728\u6211\u56fd\u4f7f\u7528\u8f83\u591a\u3002\u5176\u8bc4\u5206\u7b80\u5355\uff0c\u4e0d\u53d7\u6587\u5316\u7a0b\u5ea6\u5f71\u54cd\uff0c\u654f\u611f\u6027\u548c\u7279\u5f02\u6027\u8f83\u9ad8\uff0c\u662f\u7b5b\u9009\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u8f83\u7406\u60f3\u7684\u5de5\u5177\u3002

3\u3001 \u5e38\u8bc6\uff0d\u8bb0\u5fc6\u529b\uff0d\u6ce8\u91cd\u529b\u6d4b\u9a8c\uff08information-memory-concentration test, IMCT\uff09\uff1a\u53c8\u540dBlessed\u75f4\u5446\u91cf\u8868\uff0c\u7531Blessed\u7b49

\u4e8e1968\u5e74\u7f16\u5236\uff0c\u662f\u4e00\u79cd\u5e38\u7528\u7684\u7b5b\u67e5\u8ba4\u77e5\u529f\u80fd\u7f3a\u635f\u7684\u77ed\u5c0f\u5de5\u5177\u3002\u4e3b\u8981\u68c0\u67e5\u8fd1\u8bb0\u5fc6\u3001\u8fdc\u8bb0\u5fc6\u548c\u6ce8\u91cd\u529b\uff0c\u8fd9\u4e9b\u80fd\u529b\u5e38\u5728\u75f4\u5446\u65e9\u671f\u5373\u53d7\u7d2f\uff0c\u6d4b\u9a8c\u654f\u611f\u6027\u8f83\u597d\u3002\u7ecf\u6539\u826f\u7684\u4e2d\u6587\u7248\u517125\u9879\uff0c\u6d89\u53ca\u5e38\u8bc6\u3001\u5b9a\u5411\u3001\u8bb0\u5fc6\u3001\u6ce8\u91cd\u3002\u5176\u4e2d10\u9879\u4e0eMMSE\u5b8c\u5168\u4e00\u6837\u3002\u91cf\u8868\u5185\u90e8\u4e00\u81f4\u6027\u826f\u597d\u3002IMCT\u4e0eMMSE\u3001\u957f\u8c37\u5ddd\u75f4\u5446\u91cf\u8868\u7684\u5e73\u884c\u6548\u5ea6\u826f\u597d\uff08r=0.86, 0.66, P<0.001\uff09\u3002

4\u3001 \u753b\u949f\u6d4b\u9a8c\uff08clock drawing test, CDT\uff09\uff1a\u5bf9\u9876\u53f6\u548c\u989d\u53f6\u635f\u5bb3\u654f\u611f\uff0c\u5e38\u7528\u4e8e\u75f4\u5446\u7684\u7b5b\u67e5\u3002\u753b\u949f\u6d4b\u9a8c\u4ece\u6b63\u5e38\u4eba\u4e2d\u68c0\u51fa\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u60a3\u8005\u7684\u654f\u611f\u5ea6\u4e3a86.0\uff05\uff0c\u7279\u5f02\u6027\u4e3a96.0%\u3002

5\u3001\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\u8001\u5e74\u6210\u5957\u795e\u7ecf\u5fc3\u7406\u6d4b\u9a8c\uff08World Health Organization-battery of cognitive assessment instrument for elderly, WHO-BCAI\uff09\uff1a\u7531\u542c\u89c9\u8bcd\u6c47\u5b66\u4e60\u6d4b\u9a8c\u3001\u5206\u7c7b\u6d4b\u9a8c\u3001\u8bed\u8a00\u6d4b\u9a8c\u3001\u8fd0\u52a8\u6d4b\u9a8c\u3001\u89c6\u89c9\u8fa8\u8ba4\u529f\u80fd\u6d4b\u9a8c\u3001\u6570\u5b57\u8fde\u7ebf\u6d4b\u9a8c\u548c\u7ed3\u6784\u80fd\u529b\u6d4b\u9a8c\u7b497\u9879\u5206\u6d4b\u9a8c\u6784\u6210\u3002\u5176\u7279\u70b9\u662f\u4e13\u95e8\u9488\u5bf9\u8001\u5e74\u4eba\u7f16\u5236\uff0c\u96be\u5ea6\u9002\u4e2d\uff0c\u9002\u7528\u4e8e\u4e0d\u540c\u56fd\u5bb6\u548c\u6587\u5316\u80cc\u666f\u7684\u8001\u5e74\u4eba\u3002\u56fd\u5185\u7531\u4e0a\u6d77\u5e02\u7cbe\u795e\u536b\u751f\u4e2d\u5fc3\u8001\u5e74\u79d1\u5f15\u8fdb\u5e76\u5b8c\u6210\u4e86\u4e2d\u56fd\u5e38\u89c4\u6a21\u578b\u7684\u5236\u5b9a\u3002\u7ecf\u4e34\u5e8a\u5e94\u7528\uff0c\u5176\u8bca\u65ad\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u7684\u654f\u611f\u5ea6\u4e3a85.7\uff05\uff0c \u7279\u5f02\u5ea6\u4e3a92.8%\u3002

6\u3001 \u97e6\u6c0f\u8bb0\u5fc6\u91cf\u8868\uff08Wechsler memory scale, WMS\uff09\u53ca\u5176\u4e2d\u56fd\u4fee\u8ba2\u672c\uff1aWMS\u53cd\u6620\u53d7\u8bd5\u8005\u8bb0\u5fc6\u529f\u80fd\u7684\u6982\u51b5\u548c\u5404\u65b9\u9762\u8bb0\u5fc6\u7684\u7279\u70b9\u3002\u5206\u7532\u4e59\u4e24\u4e2a\u5e73\u884c\u7248\u672c\uff0c\u75317\u4e2a\u5206\u6d4b\u9a8c\u7ec4\u6210\uff0c\u5728\u6211\u56fd\u7684\u4fee\u8ba2\u672c\u4e2d\u53c8\u589e\u52a0\u4e863\u4e2a\u5206\u6d4b\u9a8c\u3002\u4e3b\u8981\u6d4b\u67e5\u957f\u65f6\u8bb0\u5fc6\u3001\u65f6\u7a7a\u5b9a\u5411\u3001\u6ce8\u91cd\u529b\u3001\u77ed\u65f6\u8bb0\u5fc6\u3001\u56fe\u5f62\u89c6\u89c9\u8bb0\u5fc6\u3001\u56fe\u753b\u89c6\u89c9\u8bb0\u5fc6\u3001\u8bed\u8a00\u8054\u60f3\u8bb0\u5fc6\u3001\u89e6\u77e5\u548c\u7a7a\u95f4\u77e5\u89c9\u8bb0\u5fc6\u3001\u8a00\u8bed\u7406\u89e3\u8bb0\u5fc6\u7b49\u3002

7\u3001 Hachinski\u7f3a\u8840\u6307\u6570\u91cf\u8868\uff08Hachinski ischemic scale, HIS\uff09\uff1a\u662f1975\u5e74\u7531Hachinski\u5236\u5b9a\u7684\u4e3b\u8981\u7528\u4e8e\u8840\u7ba1\u6027\u75f4\u5446\u548c\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u7684\u9274\u522b\u8bca\u65ad\u91cf\u8868\u3002Rosen\u66fe\u5bf9\u91cf\u8868\u7684\u8ba1\u5206\u505a\u4e86\u4fee\u6539\uff0c\u79f0\u4e3a\u201c\u6539\u826f\u7684\u5c40\u90e8\u7f3a\u8840\u6027\u91cf\u8868\u201d\u3002HIS\u753113\u4e2a\u9879\u76ee\u7ec4\u6210\uff0c\u6765\u6e90\u4e8e\u4e34\u5e8a\u5b9e\u8df5\u7ecf\u9a8c\u3002\u9700\u8981\u7efc\u5408\u75c5\u53f2\u3001\u75c7\u72b6\u3001\u4f53\u5f81\u548c\u8f85\u52a9\u68c0\u67e5\u7ed3\u679c\u7b49\u5185\u5bb9\u8fdb\u884c\u7efc\u5408\u8bc4\u5b9a\u3002\u6b64\u91cf\u8868\u9274\u522b\u4e24\u79cd\u75f4\u5446\uff0c\u654f\u611f\u5ea6\u53ef\u8fbe\u523090.0%,\u7279\u5f02\u602798.8%.

\u4ee5\u4e0a\u6d4b\u8bd5\u548c\u91cf\u8868\u4e3b\u8981\u7528\u4e8e\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u7684\u8bca\u65ad\u548c\u9274\u522b\u8bca\u65ad\u3002\u5176\u4e2d\u4ee5MMSE\u548cHachinski\u7f3a\u8840\u6307\u6570\u91cf\u8868\u6700\u4e3a\u5e38\u7528\uff0c\u524d\u8005\u4e3b\u8981\u7528\u4e8e\u7b5b\u67e5\u548c\u75f4\u5446\u4e25\u91cd\u7a0b\u5ea6\u7684\u5224\u5b9a\uff0c\u540e\u8005\u4e3b\u8981\u7528\u4e8e\u9274\u522b\u8bca\u65ad\u3002

\u4e8c\u3001\u7528\u4e8e\u8bc4\u4ef7\u7684\u91cf\u8868

\uff08\u4e00\uff09\u8bc4\u4ef7\u8ba4\u77e5\u7684\u91cf\u8868

1 \u3001\u8001\u5e74\u6027\u75f4\u5446\u8bc4\u5b9a\u91cf\u8868\u8ba4\u77e5\u5206\u91cf\u8868\uff08ADAS-cog\uff09\uff1a\u7531Rosen\u7b49\u4fee\u8ba2\uff0c\u7528\u4e8e\u8bc4\u4f30\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u7684\u8ba4\u77e5\u529f\u80fd\uff0c\u5373\u53ef\u8f85\u52a9\u8bca\u65ad\uff0c\u53c8\u53ef\u8bc4\u4ef7\u75be\u75c5\u7684\u8fdb\u5c55\u3002\uff081\uff09\u5185\u5bb9\uff1a\u8ba4\u77e5\u884c\u4e3a\u91cf\u8868\u5305\u62ec\u5b9a\u5411\u3001\u8bed\u8a00\u3001\u7ed3\u6784\u3001\u89c2\u5ff5\u7684\u8fd0\u7528\u3001\u8bcd\u8bed\u5373\u523b\u56de\u5fc6\u4e0e\u8bcd\u8bed\u518d\u8ba4\uff0c\u517111\u9898\uff0c\u8d39\u65f6\u7ea615\uff0d30\u5206\u949f\uff0c\u6ee1\u520670\u5206\u3002\u5bf9AD\u60a3\u8005\uff0c\u68c0\u6d4b\u8005\u4e4b\u95f4\u7684\u4fe1\u5ea6\u4e3a0.99\uff0c\u95f4\u96941\u4e2a\u6708\u518d\u6d4b\u76f8\u5173\u60270.92\u3002(2)\u4f18\u70b9\uff1aADAS-cog\u8986\u76d6\u4e86NINCDS-ADRDA\u548c\u7f8e\u56fdDSM-IV\u6709\u5173\u75f4\u5446\u8bca\u65ad\u6807\u51c6\u8981\u6c42\u68c0\u6d4b\u7684\u4e3b\u8981\u8ba4\u77e5\u9886\u57df\uff0c\u5305\u62ec\u8bb0\u5fc6\u969c\u788d\u3001\u5931\u8bed\u3001\u5931\u7528\u3001\u5931\u8ba4\uff0c\u662f\u76ee\u524d\u5e94\u7528\u6700\u5e7f\u6cdb\u7684\u6297\u75f4\u5446\u836f\u7269\u4e34\u5e8a\u8bd5\u9a8c\u7684\u7597\u6548\u8bc4\u4ef7\u5de5\u5177\u3002\u901a\u5e38\u5c06\u6539\u55844\u5206\uff08\u76f8\u5f53\u4e8e\u6708\u5e73\u5747\u81ea\u7136\u4e0b\u964d\u5206\u6570\uff09\u4f5c\u4e3a\u6cbb\u7597\u663e\u6548\u7684\u5224\u5b9a\u6807\u51c6\u3002(3)\u7f3a\u70b9\uff1a\u4e0d\u9002\u5408\u6781\u8f7b\u5ea6\u548c\u6781\u91cd\u5ea6\u7684\u60a3\u8005\uff1b\u6ca1\u6709\u68c0\u6d4b\u6267\u884c\u529f\u80fd\u969c\u788d\u7684\u9879\u76ee\uff0c\u4e0eMMSE\u4e00\u6837\uff0c\u5bf9\u989d\u53f6\u529f\u80fd\u969c\u788d\u8005\u4e0d\u591f\u654f\u611f\uff0c\u4e0d\u80fd\u7528\u4e8e\u9274\u522b\u8bca\u65ad\uff1b\u90e8\u5206\u9879\u76ee\u9700\u8981\u53d7\u8bd5\u8005\u6709\u4e00\u5b9a\u7684\u9605\u8bfb\u4e66\u5199\u80fd\u529b\uff0c\u6545\u7814\u7a76\u4e2d\u5065\u5eb7\u8001\u4eba\u4e0eAD\u60a3\u8005\u5747\u9700\u8981\u9009\u62e9\u6559\u80b2\u7a0b\u5ea6\u5728\u5c0f\u5b66\u4ee5\u4e0a\u6587\u5316\u8005\u3002\u6b64\u91cf\u8868\u73b0\u5728\u662f\u7528\u4e8e\u8f7b\u4e2d\u5ea6\u75f4\u5446\u6cbb\u7597\u836f\u7269\u7684\u7597\u6548\u8bc4\u4f30\u7684\u6700\u5e38\u7528\u91cf\u8868

2 \u3001\u4e25\u91cd\u969c\u788d\u91cf\u8868\uff08severe impairment battery, SIB\uff09\uff1a1990\u5e74\u7531Saxton\u7b49\u7f16\u5236\uff0c\u7ecf\u5386\u4e86\u4e09\u4e2a\u7248\u672c\u3002\u5305\u62ec\u5b9a\u5411\u3001\u8bb0\u5fc6\u3001\u8bed\u8a00\u3001\u8fd0\u7528\u3001\u6ce8\u91cd\u3001\u89c6\u77e5\u89c9\u3001\u7ed3\u6784\u3001\u547c\u540d\u56de\u5e94\u548c\u793e\u4f1a\u4ea4\u5f80\u7b499\u4e2a\u56e0\u5b50\u3002\u517157\u9898\uff0c\u603b\u5206133\u5206\uff0c\u5176\u4e2d\u8bed\u8a00\u520656\u5206\u3002\u8017\u65f6\u7ea620\u5206\u949f\u3002\u91cd\u6d4b\u4fe1\u5ea60.87\uff0c\u6d4b\u9a8c\u8005\u4e4b\u95f4\u4fe1\u5ea60.99\u3002\u80fd\u6709\u6548\u533a\u5206MMSE0\uff0d5\u5206\u7ec4\u4e0e6\uff0d11\u5206\u7ec4\uff0c\u4e0d\u80fd\u533a\u52066\uff0d11\u5206\u7ec4\u300112\uff0d17\u5206\u7ec4\u4e0e\u5927\u4e8e17\u5206\u7ec4\u3002\u6b64\u91cf\u8868\u76ee\u524d\u662f\u8bc4\u4ef7\u4e2d\u91cd\u5ea6\u5230\u91cd\u5ea6\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u7597\u6548\u7684\u6700\u5e38\u7528\u91cf\u8868\uff0c\u5df2\u5e94\u7528\u4e8e\u7f8e\u91d1\u521a\u7684\u4e34\u5e8a\u8bd5\u9a8c\u5e76\u53d6\u5f97\u6ee1\u8db3\u7ed3\u679c\uff0c\u5df2\u6709\u4e2d\u6587\u7248\u672c\uff0c\u4fe1\u5ea6\u548c\u6548\u5ea6\u826f\u597d\u3002

3\u3001 \u4e25\u91cd\u8ba4\u77e5\u635f\u5bb3\u91cf\u8868\uff08SCIP\uff09\uff1aPeavy\u7b491996\u5e74\u7f16\u5236\u3002\u5305\u62ec\u6ce8\u91cd\u3001\u8bed\u8a00\u3001\u8bb0\u5fc6\u3001\u8fd0\u52a8\u901f\u5ea6\u548c\u534f\u8c03\u6027\u3001\u77e5\u89c9\u63a8\u7406\u3001\u89c6\u89c9\u7a7a\u95f4\u3001\u8ba1\u7b97\u53ca\u884c\u4e3a\u4e3e\u6b62\u7b498\u4e2a\u5b50\u56e0\u5b50\uff0c\u8017\u65f6\u7ea630\u5206\u949f\u3002\u603b\u5206245\u5206\uff0c\u5176\u4e2d\u8bed\u8a00\u5206\u4e3a88\u5206\u3002\u572841\u4f8bMMSE\u5e73\u5747\u5206\u4e3a8\u5206\u7684AD\u60a3\u8005\u4e2d\uff0cSCIP\u4e3a\u5e73\u5747170\u5206\uff0cSIB\u5e73\u574765\u5206\uff0cDRS\u5e73\u574758\u5206\u3002

\u76ee\u524dADAS-cog\u5747\u7528\u4e8e\u8f7b\u4e2d\u5ea6\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u7684\u4e34\u5e8a\u8bd5\u9a8c\uff0c\u800c\u4e2d\u91cd\u5ea6\u5230\u91cd\u5ea6\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u591a\u4f7f\u7528SIB\u3002

\uff08\u4e8c\uff09 \u603b\u4f53\u8bc4\u4ef7\u91cf\u8868

1\u3001 \u603b\u4f53\u8870\u9000\u91cf\u8868\uff08global deterioate scale, GDS\uff09\uff1a\u7531Reisberg\u4e8e1982\u5e74\u7f16\u5236\uff0c\u4e3b\u8981\u6839\u636e\u60a3\u8005\u7684\u8ba4\u77e5\u529f\u80fd\u548c\u793e\u4f1a\u751f\u6d3b\u529f\u80fd\u5bf9\u75f4\u5446\u7684\u4e25\u91cd\u7a0b\u5ea6\u5206\u7ea7\u3002\u53ef\u4ee5\u8bc4\u4f30\u75f4\u5446\u60a3\u8005\u8ba4\u77e5\u529f\u80fd\u6240\u5904\u7684\u9636\u6bb5\uff0c\u5bf9\u75f4\u5446\u60a3\u8005\u7684\u8bca\u65ad\u3001\u6cbb\u7597\u548c\u62a4\u7406\u6709\u53c2\u8003\u610f\u4e49\u3002

2\u3001\u4e34\u5e8a\u75f4\u5446\u91cf\u8868\uff08clinical dementia rating, CDR\uff09\uff1a\u7531John Morris\u7f16\u5236\uff0c\u5bf9\u75f4\u5446\u60a3\u8005\u8ba4\u77e5\u529f\u80fd\u548c\u793e\u4f1a\u751f\u6d3b\u529f\u80fd\u635f\u5bb3\u7684\u4e25\u91cd\u7a0b\u5ea6\u8fdb\u884c\u4e34\u5e8a\u5206\u7ea7\u3002\u9002\u7528\u4e8e\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u6216\u5176\u4ed6\u75f4\u5446\u3002\u91c7\u7528\u4e34\u5e8a\u534a\u5b9a\u5f0f\u8bbf\u8c08\u60a3\u8005\u548c\u77e5\u60c5\u8005\u6765\u83b7\u5f97\u4fe1\u606f\uff0c\u8bc4\u4f30\u53d7\u8bd5\u80056\u65b9\u9762\u7684\u8868\u73b0\uff08\u8bb0\u5fc6\u3001\u5b9a\u5411\u3001\u89e3\u51b3\u95ee\u9898\u3001\u793e\u533a\u4e8b\u52a1\u3001\u5bb6\u5ead\u751f\u6d3b\u3001\u751f\u6d3b\u81ea\u7406\uff09\uff0c\u6309\u4e25\u91cd\u7a0b\u5ea6\u5206\u4e3a5\u7ea7\uff0c\u5373\u5065\u5eb7\u3001\u53ef\u7591\u75f4\u5446\u3001\u8f7b\u5ea6\u75f4\u5446\u3001\u4e2d\u5ea6\u75f4\u5446\u548c\u91cd\u5ea6\u75f4\u5446\u3002

3 \u3001\u5370\u8c61\u53d8\u5316\u91cf\u8868\uff08CIBIC-plus Clinician's Interview-Based Impression of Change\uff09\uff1a\u4ee5\u4e34\u5e8a\u533b\u751f\u9762\u8bbf\u4e3a\u57fa\u7840\u7684\u5370\u8c61\u53d8\u5316\u662f\u4e00\u4e2a\u4e3b\u8981\u7528\u4ee5\u8bc4\u4f30AD\u60a3\u8005\u5168\u9762\u53d8\u5316\u7684\u5de5\u5177\uff0c\u5305\u62ec\u8ba4\u77e5\u3001\u529f\u80fd\u548c\u884c\u4e3a3\u65b9\u9762\u75c7\u72b6\u3002CIBIC-plus\u7684\u884c\u4e3a\u90e8\u5206\u91c7\u7528\u4e86\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u7684\u884c\u4e3a\u75c5\u7406\u5b66\u8bc4\u5206\u91cf\u8868\uff08Behaviourai Patholody in Alzheimer Disease Rating Scale , BEHAVE-AD\uff09\u7684\u6821\u6b63\u7248\u3002\u5728\u7167\u6599\u8005\u95ee\u5377\uff0c\u5c317\u4e2a\u4e3b\u8981\u9886\u57df\u884c\u4e3a\u75c7\u72b6\u7684\u5e45\u5ea6\u548c\u76f8\u5e94\u533a\u57df25\u4e2a\u7279\u5f02\u75c7\u72b6\uff08\u6216\u9879\u76ee\uff09\u7684\u5e45\u5ea6\u8fdb\u884c\u8bc4\u4f30\u3002
4\u3001 \u4e34\u5e8a\u603b\u4f53\u5370\u8c61\u91cf\u8868\uff08Clinical Global Impression\uff0cCGI\uff09\uff1a\u6700\u5148\u7531WHO\u8bbe\u8ba1\uff0c\u4e3b\u8981\u7528\u4e8e\u5224\u5b9a\u603b\u7684\u75be\u75c5\u4e25\u91cd\u6027\u53ca\u5176\u53d8\u5316\uff0c\u53ef\u7528\u4e8e\u8bc4\u5b9a\u4e34\u5e8a\u7597\u6548\uff0c\u4e5f\u53ef\u5728\u5176\u5b83\u91cf\u8868\u8fdb\u884c\u4e34\u5e8a\u7814\u7a76\u65f6\uff0c\u68c0\u9a8c\u5176\u8bc4\u5206\u53cd\u5e94\u4e34\u5e8a\u7684\u771f\u5b9e\u6027\u3002\u91cf\u8868\u4e3b\u8981\u5305\u62ec\uff1a\u75c5\u60c5\u4e25\u91cd\u7a0b\u5ea6\u3001\u7597\u6548\u603b\u8bc4\u3001\u7597\u6548\u6307\u6570\u4e09\u90e8\u5206\uff0c\u53ef\u7528\u4e8e\u4efb\u4f55\u7cbe\u795e\u79d1\u6cbb\u7597\u7814\u7a76\u3002
\uff08\u4e09\uff09\u7cbe\u795e\u884c\u4e3a\u75c7\u72b6\u8bc4\u5b9a\u91cf\u8868
1 \u3001\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u884c\u4e3a\u75c5\u7406\u8bc4\u5b9a\u91cf\u8868\uff08rating scale of the behavioral pathology in Alzheimer\u2019s disease, BEHAVE-AD\uff09\uff1a\u662f\u4e00\u4e2a\u6bd4\u8f83\u7b80\u77ed\u7684\u91cf\u8868\uff0c\u5305\u62ec\u75c7\u72b6\u8bc4\u5b9a\u548c\u603b\u4f53\u8bc4\u5b9a\u4e24\u90e8\u5206\uff0c\u7531Reisberg\u7b491987\u5e74\u7f16\u5236\u3002\u75c7\u72b6\u90e8\u5206\u542b25\u4e2a\u75c7\u72b6\uff0c\u89c4\u4e3a7\u7c7b\uff0c\u5373\u504f\u6267\u548c\u5984\u60f3\u3001\u5e7b\u89c9\u3001\u653b\u51fb\u3001\u6d3b\u52a8\u5f02\u5e38\u3001\u663c\u591c\u8282\u5f8b\u7d0a\u4e71\u3001\u60c5\u611f\u969c\u788d\u3001\u7126\u8651\u548c\u60e7\u6015\u3002\u603b\u4f53\u90e8\u5206\u8bc4\u5b9a\u7cbe\u795e\u884c\u4e3a\u75c7\u72b6\u7684\u4e25\u91cd\u7a0b\u5ea6\u3002BEHAVE-AD\u7f16\u5236\u65f6\u501f\u9274\u4e86\u7b80\u660e\u7cbe\u795e\u75c5\u8bc4\u5b9a\u91cf\u8868\uff08brief psychiatric rating scale, BPRS\uff09\u3001Hamilton\u6291\u90c1\u91cf\u8868\u7684\u5185\u5bb9\u3002\u8be5\u91cf\u8868\u80fd\u6bd4\u8f83\u5168\u9762\u5730\u3001\u6709\u6548\u5730\u8bc4\u5b9a\u75f4\u5446\u60a3\u8005\u7684\u884c\u4e3a\u548c\u7cbe\u795e\u75c7\u72b6\uff0c\u76ee\u524d\u5728\u56fd\u9645\u4e0a\u5df2\u88ab\u5e7f\u6cdb\u91c7\u7528\u3002\u56fd\u5185\u8fdb\u884c\u4e86\u4e2d\u6587\u7248\u672c\u7684\u4fe1\u5ea6\u548c\u6548\u5ea6\u7814\u7a76\uff0c\u91cd\u6d4b\u4fe1\u5ea6\u4e3a0.96, \u4e0eBPRS\u76f8\u6bd4\u7684\u5e73\u884c\u6548\u5ea6\u4e3a0.475\u3002
2\u3001 Cohen-Mansfield\u6fc0\u8d8a\u95ee\u5377\uff08CMAI\uff09\uff1aCMAI\u4e3b\u8981\u8bc4\u4ef7\u60a3\u8005\u7684\u6fc0\u8d8a\u884c\u4e3a\uff0c\u5171\u8bc4\u5b9a29\u4e2a\u4e0e\u6fc0\u8d8a\u6709\u5173\u7684\u884c\u4e3a\u75c7\u72b6\u7684\u53d1\u751f\u9891\u7387\uff0c\u8bc4\u5b9a\u7684\u65f6\u95f4\u6bb5\u662f\u8fc7\u53bb2\u5468\uff0c\u63097\u7ea7\u8bc4\u5206\u3002\u56fd\u5185\u4fe1\u5ea6\u548c\u6548\u5ea6\u7814\u7a76\u4e5f\u8868\u660e\uff0c\u4e2d\u6587\u7248\u7684\u4fe1\u5ea6\u548c\u6548\u5ea6\u8f83\u597d\u3002
3 \u3001\u52a0\u5229\u798f\u5c3c\u4e9a\u75f4\u5446\u884c\u4e3a\u95ee\u5377\uff08CDBQ\uff09\uff1aCDBQ\u7531Victoroff\u4e3b\u6301\u5236\u5b9a\uff0c\u662f\u4e00\u4e2a\u7167\u6599\u8005\u8bc4\u5b9a\u7684\u91cf\u8868\uff0c\u80fd\u5168\u9762\u8bc4\u4ef7\u75f4\u5446\u60a3\u8005\u7684\u884c\u4e3a\u969c\u788d\u3002\u6574\u4e2a\u91cf\u8868\u670981\u4e2a\u6761\u76ee\u3002\u56fd\u5185\u5bf9\u5176\u4e2d\u6587\u7248\u672c\u8fdb\u884c\u4e86\u4fe1\u5ea6\u548c\u6548\u5ea6\u7814\u7a76\uff0c\u5185\u90e8\u4e00\u81f4\u6027\u4e3a0.78-0.89\uff0c\u4e0eBPRS\u7684\u5e73\u884c\u6548\u5ea6\u4e3a0.36\u3002
4 \u3001Sandoz\u8001\u5e74\u4e34\u5e8a\u8bc4\u5b9a\u91cf\u8868\uff08SCAG\uff09\uff1aSCAG\u7531Shader\u7f16\u5236\u4e8e1974\u5e74\uff0c\u6839\u636eBPRS\u6539\u53d8\u800c\u6210\u3002\u5b83\u539f\u662f\u4e3aSandoz\u836f\u5382\u8bbe\u8ba1\uff0c\u4e3b\u8981\u76ee\u7684\u662f\u7528\u6765\u8bc4\u5b9a\u8001\u5e74\u7cbe\u795e\u75c5\u60a3\u8005\u6cbb\u7597\u524d\u540e\u7684\u75c7\u72b6\u7684\u53d8\u5316\u3002\u753118\u4e2a\u9879\u76ee\u7ec4\u6210\uff0c\u52a0\u4e0a\u603b\u4f53\u5370\u8c61\u517119\u9879\u3002\u672c\u91cf\u8868\u66fe\u591a\u6b21\u7528\u4e8e\u836f\u7406\u5b66\u7814\u7a76\uff0c\u80fd\u8f83\u654f\u611f\u5730\u53cd\u6620\u6cbb\u7597\u524d\u540e\u7cbe\u795e\u884c\u4e3a\u75c7\u72b6\u7684\u6539\u53d8\u3002
5\u3001 \u795e\u7ecf\u7cbe\u795e\u75c7\u72b6\u95ee\u5377\uff08the Neuropsychiatric Inventory, NPI\uff09\uff1aNPI\u8bc4\u4ef712\u4e2a\u5e38\u89c1\u75f4\u5446\u7684\u7cbe\u795e\u884c\u4e3a\u75c7\u72b6\uff0c\u5305\u62ec\u5984\u60f3\u3001\u5e7b\u89c9\u3001\u6fc0\u8d8a\u3001\u6291\u90c1\u3001\u7126\u8651\u3001\u6de1\u6f20\u3001\u6b23\u5feb\u3001\u8131\u6291\u5236\u884c\u4e3a\u3001\u5f02\u5e38\u52a8\u4f5c\u3001\u591c\u95f4\u884c\u4e3a\u7d0a\u4e71\u3001\u996e\u98df\u5f02\u5e38\u3002NPI\u7684\u8bc4\u5206\u8981\u6839\u636e\u5bf9\u7167\u6599\u8005\u7684\u4e00\u7cfb\u5217\u63d0\u95ee\u6765\u8bc4\u5206\uff0c\u800c\u4e14\u65e2\u8981\u8bc4\u5b9a\u75c7\u72b6\u7684\u53d1\u751f\u9891\u7387\uff0c\u4e5f\u8981\u8bc4\u5b9a\u4e25\u91cd\u7a0b\u5ea6\u3002\u75c5\u60c5\u4e25\u91cd\u7a0b\u5ea6\u63093\u7ea7\u8bc4\u5206\uff0c\u5373\u8f7b\u3001\u4e2d\u3001\u91cd\u5ea6\u5206\u522b\u8bc4\u4e3a1\uff0c2\uff0c3\uff1b\u53d1\u751f\u9891\u7387\u63094\u7ea7\u8bc4\u5206\u3002\u53e6\u5916\uff0c\u8be5\u91cf\u8868\u6d77\u8981\u6c42\u8bc4\u5b9a\u7167\u6599\u8005\u7684\u5fc3\u7406\u75db\u82e6\uff0c\u63096\u7ea7\u8bc4\u5206\u8bc4\u5b9a\u3002
\uff08\u56db\uff09\u65e5\u5e38\u751f\u6d3b\u6d3b\u52a8\u80fd\u529b\u91cf\u8868\uff08activities of daily living, ADL\uff09
\u79cd\u7c7b\u751a\u591a\uff0c\u8fc4\u4eca\u5df2\u6709\u591a\u79cd\u7248\u672c\u3002ADL\u4e3b\u8981\u7528\u4e8e\u8001\u5e74\u671f\u75f4\u5446\u60a3\u8005\u65e5\u5e38\u751f\u6d3b\u80fd\u529b\u8bc4\u5b9a\uff0c\u4e3a\u5236\u5b9a\u62a4\u7406\u548c\u5eb7\u590d\u65b9\u6848\u53ca\u8bc4\u5b9a\u836f\u7269\u7597\u6548\u548c\u5eb7\u590d\u7ec3\u4e60\u6548\u679c\u7684\u91cd\u8981\u53c2\u8003\u6307\u6807\u3002\u6700\u5e38\u7528\u7684\u662fLawton\u548cBrody\u7b491969\u5e74\u5236\u5b9a\u7684\uff0c\u75316\u9879\u8eaf\u4f53\u81ea\u7406\u91cf\u8868\uff08physical self-maintenance scale, PSMS\uff09\u53ca8\u9879\u5de5\u5177\u6027\u65e5\u5e38\u751f\u6d3b\u6d3b\u52a8\u80fd\u529b\u91cf\u8868\uff08instrumental activities of daily living scale, IADL\uff09\u7ec4\u6210\uff0c\u8bc4\u5b9a\u5185\u5bb9\u5305\u62ec\u6253\u7535\u8bdd\u3001\u8d2d\u7269\u3001\u5907\u9910\u3001\u505a\u5bb6\u52a1\u3001\u6d17\u8863\u3001\u4f7f\u7528\u4ea4\u901a\u5de5\u5177\u3001\u670d\u836f\u548c\u81ea\u7406\u94b1\u8d22\u3002\u5176\u5728\u75f4\u5446\u8bca\u65ad\u4e2d\u7684\u654f\u611f\u5ea6\u4e3a82.5\uff05\uff0c\u7279\u5f02\u5ea6\u4e3a89.1\uff05\u3002\u8be5\u91cf\u8868\u9879\u76ee\u7ec6\u81f4\uff0c\u7b80\u660e\u6613\u61c2\uff0c\u4fbf\u4e8e\u8be2\u95ee\u3002\u4f46ADL\u53d7\u591a\u79cd\u56e0\u7d20\uff0c\u5982\u5e74\u9f84\u3001\u89c6\u3001\u542c\u6216\u8fd0\u52a8\u529f\u80fd\u969c\u788d\uff0c\u8eaf\u4f53\u75be\u75c5\uff0c\u60c5\u7eea\u4f4e\u843d\u7b49\u7684\u5f71\u54cd\uff0c\u56e0\u6b64\u5bf9ADL\u7ed3\u679c\u7684\u89e3\u91ca\u5e94\u614e\u91cd\u3002
\u963f\u5179\u6d77\u9ed8\u6c0f\u75c7\u5408\u4f5c\u7814\u7a76-\u65e5\u5e38\u751f\u6d3b\u6d3b\u52a8-\u4e25\u91cd\u7248(Alzheimer Disease Cooperative Study-Activities of Daily Living-severe version\uff0cADCS-ADL-sev)
\u7167\u987e\u8005\u8d1f\u8377\u95ee\u5377(Caregiver Burden Questionnaire\uff0cCBQ)
\u4e25\u91cd\u963f\u5179\u6d77\u9ed8\u6c0f\u75c7\u75c5\u60a3\u8d44\u6e90\u5229\u7528(Resources Utilization for Severe Alzheimer Disease Patients\uff0cRUSP)
\u6d89\u53ca\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u7684\u795e\u7ecf\u5fc3\u7406\u6d4b\u8bd5\u548c\u91cf\u8868\u7e41\u591a\uff0c\u4f46\u771f\u6b63\u80fd\u826f\u597d\u5e94\u7528\u4e8e\u836f\u7269\u4e34\u5e8a\u8bd5\u9a8c\u8fd8\u9700\u614e\u91cd\u9009\u62e9\uff0c\u9700\u8981\u8003\u8651\u4fe1\u5ea6\u3001\u6548\u5ea6\u4ee5\u53ca\u4f7f\u7528\u7684\u65b9\u4fbf\u6027\u7b49\u5404\u4e2a\u65b9\u9762\u3002\u4e34\u5e8a\u8bd5\u9a8c\u4e2d\u7684\u7597\u6548\u8bc4\u4ef7\u81f3\u5c11\u5e94\u5305\u62ec\u8ba4\u77e5\u548c\u603b\u4f53\u8bc4\u4ef7\u4e24\u4e2a\u90e8\u5206\uff0c\u5e76\u5c3d\u53ef\u80fd\u8fdb\u884c\u65e5\u5e38\u751f\u6d3b\u6d3b\u52a8\u80fd\u529b\u548c\u7cbe\u795e\u884c\u4e3a\u7684\u8bc4\u4ef7\u3002\u8fdb\u884c\u7597\u6548\u8bc4\u4ef7\u65f6\uff0c\u53ef\u4ee5\u4f7f\u7528\u4ee5\u4e0a\u91cf\u8868\uff0c\u4e5f\u53ef\u4ee5\u4f7f\u7528\u5176\u4ed6\u7ecf\u8fc7\u9a8c\u8bc1\u7684\u91cf\u8868

\u53ef\u4ee5\u7684

MoCA\u7531\u52a0\u62ff\u5927Nasreddine\u7b49\u6839\u636e\u4e34\u5e8a\u7ecf\u9a8c\u5e76\u53c2\u8003MMSE\uff08\u7b80\u660e\u7cbe\u795e\u72b6\u6001\u68c0\u67e5\uff09\u7684\u8ba4\u77e5\u9879\u76ee\u548c\u8bc4\u5206\u800c\u5236\u5b9a\uff0c2004\u5e7411\u6708\u786e\u5b9a\u6700\u7ec8\u7248\u672c\uff0c\u662f\u4e00\u4e2a\u7528\u6765\u5bf9\u8ba4\u77e5\u529f\u80fd\u5f02\u5e38\u8fdb\u884c\u5feb\u901f\u7b5b\u67e5\u7684\u8bc4\u5b9a\u5de5\u5177\u3002\u5305\u62ec\u4e86\u6ce8\u610f\u4e0e\u96c6\u4e2d\u3001\u6267\u884c\u529f\u80fd\u3001\u8bb0\u5fc6\u3001\u8bed\u8a00\u3001\u89c6\u7ed3\u6784\u6280\u80fd\u3001\u62bd\u8c61\u601d\u7ef4\u3001\u8ba1\u7b97\u548c\u5b9a\u5411\u529b\u7b498\u4e2a\u8ba4\u77e5\u9886\u57df\u768411\u4e2a\u68c0\u67e5\u9879\u76ee\u3002\u603b\u520630\u5206\uff0c\u226526\u5206\u6b63\u5e38\uff0c\u5176\u654f\u611f\u6027\u9ad8\uff0c\u8986\u76d6\u91cd\u8981\u7684\u8ba4\u77e5\u9886\u57df\uff0c\u6d4b\u8bd5\u65f6\u95f4\u77ed\uff0c\u9002\u5408\u4e34\u5e8a\u8fd0\u7528\u3002\u4f46\u5176\u4e5f\u53d7\u6559\u80b2\u7a0b\u5ea6\u7684\u5f71\u54cd\uff0c\u6587\u5316\u80cc\u666f\u7684\u5dee\u5f02\u3001\u68c0\u67e5\u8005\u4f7f\u7528MoCA\u7684\u6280\u5de7\u548c\u7ecf\u9a8c\uff0c\u68c0\u67e5\u7684\u73af\u5883\u53ca\u88ab\u8bd5\u8005\u7684\u60c5\u7eea\u53ca\u7cbe\u795e\u72b6\u6001\u7b49\u5747\u4f1a\u5bf9\u5206\u503c\u4ea7\u751f\u5f71\u54cd\uff0c\u5bf9\u4e8e\u8f7b\u5ea6\u8ba4\u77e5\u529f\u80fd\u969c\u788d\uff08mild cognitive impairment\uff0cMCI

\u91cf\u8868 (2\u5f20)
\uff09\u7684\u7b5b\u67e5\u66f4\u5177\u654f\u611f\u6027\u3002

认知是机体认识和获取知识的智能加工过程,涉及学习、记忆、语言、思维、精神、情感等一系列随意、心理和社会行为。

认知功能障碍定义:

认知功能障碍指与上述学习记忆以及思维判断有关的大脑高级智能加工过程出现异常,从而引起严重学习、记忆障碍,同时伴有失语或失用或失认或失行等改变的病理过程。认知的基础是大脑皮层的正常功能,任何引起大脑皮层功能和结构异常的因素均可导致认知障碍。由于大脑的功能复杂,且认知障碍的不同类型互相关联,即某一方面的认知问题可以引起另一方面或多个方面的认知异常(如一个病人若有注意力和记忆方面的缺陷,就会出现解决问题的障碍)。

韦氏成人智力测验(Wechsler Adult Intelligence Scale,WAIS)分言语量表和操作量表两部分,体现了左右脑功能的整合。可同时提供三个智商分数和多个分测验分数,能够较好地反映智力的整体和各个侧面。可研究人格,也可作为神经心理学主要测量量表。WAIS积木测验对鉴别MCI及痴呆有一定作用。

认知能力简单来说就是大脑处理信息和加工信息的过程和一种能力。比如记忆力、注意力、信息摄取和加工的速度;比如方向感知、逻辑推理或者信息迁移能力,这些我们叫做认知能力,也就是俗称的智商。
认知能力怎么测量?
记忆力好是认知能力的体现,空间感知能力好也是智力体现,比如图象处理能力和图象感知能力,或者对声音、色彩、数字的敏感度都可以作为认知的一部分。认知测试是多维度的,通常见到的智商测试也是多维度的题,这些单一指标和单一题目共同构成对某一项认知的测量。每一个维度的认知能力测不同东西,但是背后是高度相关的,所以这样一个高度相关让我们假定存在一种没有办法直接观察到,没有办法测量的,但是共同决定了我们所有这些表现出来的每个维度上能力的智力。

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