摘要
目的 评价长谷川痴呆量表 (HDS)、简易精神状态检查表 (MMSE)、Blessed行为量表 (BBS) 3种量表在痴呆筛查中的可行性。方法 对 5 0例 5 0岁以上可疑智能减退的患者进行 HDS、MMSE、BBS测试 ,并对其智能水平独立做出判断 ,比较 3种量表在痴呆筛查中的有效性及优缺点。结果 3种量表得分在痴呆组和非痴呆组之间有显著差异 ,HDS、MMSE、BBS的敏感性分别为 6 6 .6 7%、80 %、93.33%。特异性分别为 10 0 %、85 .71%、2 8.5 7%。痴呆和非痴呆患者相比较在时间定向力、记忆、计算、视空间等方面损害较重 ,而命名相对保存。结论 3种量表中 ,MMSE敏感性、特异性均较好 ,HDS特异性最好 ,而 BBS在排除痴呆诊断中意义较大。主观测试与客观评价结合是全面评估智能水平的有效途径。因简易量表得分受多种因素影响 ,更适用于大样本试验。
Objective To find the advantages and disadvantages of the collaboration of three mini scales-MMSE,HDS,BBS. Methods 50 in- and out-patients above 50 years old were recruited. HDS,MMSE and BBS were adopted to all the subjects while their mental states were estimated independent of the scales. Results The scores of the scales were significantly different between demented and nondemented patients. The sensitivities of HDS,MMSE and BBS were 66.67%,80%,93.33% respectively,and specificities 100%,85.71%,28.57%. Demented patients scored significantly lower in the fields of orientation,memory,calculation and visuospatial skills,but the nomination was reserved. Conclusion MMSE is sensitive and specific to the diagnosis of dementia. HDS is the most specific while BBS is more valuable to deny the diagnosis. It's wise to join the objective and subjective tests together to estimate the patients' mental state. Besides,the mini scales are more suitable to large populated sample because the scores are influenced by many factors.
出处
《中风与神经疾病杂志》
CAS
CSCD
北大核心
2002年第3期167-168,共2页
Journal of Apoplexy and Nervous Diseases
