摘要
目的：评估脑小血管病（Cerebral small vessel diseases,CSVD）患者认知、情感及日常生活能力。方法：研究对象为首次诊断为CSVD患者60例,同期体检者60例,采用蒙特利尔认知评估（Montreal Cognitive Assessment,MoCA）中文版、汉密顿抑郁量表（Hamilton Depression Scale,HAMD）、汉密顿焦虑量表（Hamilton Anxiety Scale,HAMA）、日常生活能力量表（Activities of daily living scale,ADL）对受试者进行临床测评,并对测评结果进行统计学分析。结果：观察组MoCA评分显著低于对照组（t=-11.25,P〈0.05）,HAMD、HAMA及ADL评分显著高于对照组（t=5.51,2.23,14.08;P〈0.05）;观察组患者ADL评分与MoCA评分之间存在负相关（r=-0.47,P〈0.05）,与HAMD、HAMA评分之间存在正相关（r=0.26,0.38;P〈0.05）,MoCA评分与HAMD、HAMA评分之间存在负相关（r=-0.54,-0.35;P〈0.05）。结论：CSVD患者存在一定程度的认知受损、情感障碍和日常生活能力下降,临床医师应重视脑小血管病患者认知、情感及日常生活能力评估。
Objective：To explore the cognitive function,emotional status and activities of daily living in patients with cerebral small vessel diseases（CSVD）.Methods：Totally 60 patients who first diagnosed with CSVD were enrolled as observation group,with 60 healthy controls in physical examination center.Their cognitive function,emotional status and activities of daily living were assessed.Cognitive function was assessed by Montreal Cognitive Assessment（MoCA）,emotional status by Hamilton Depression Scale（HAMD）and Hamilton Anxiety Scale（HAMA）,daily living by Activities of daily living scale（ADL）.The results of the evaluation were statistically analyzed.Results：The MoCA score of the observation group was significantly lower than that of controls（t=-11.25,P〈0.05）,while the scores of HAMD,HAMA and ADL were significantly higher than those of controls（t=5.51,2.23,14.08;P〈0.05）.There was a negative correlation between the ADL score and the MoCA score（r=-0.47,P〈0.05）,while there were positively correlated with HAMD and HAMA scores（r=0.26,0.38;P〈0.05）.And there were negative correlations between the scores of HAMD and HAMA with MoCA（r=-0.54,-0.35;P〈0.05）.Conclusion：CSVD patients have certain degrees of cognitive impairment,emotion disorders and activities of daily living decline.Clinicians should pay attention to the assessment of cognitive function,emotional status and activities of daily living ability of patients with CSVD.
作者
高朋飞
翟鲁辉
安文峰
GAO Pengfei;ZHAI Luhui;AN Wenfeng(Xuchang Central Hospital,Xuchang 461200,China)
出处
《中国健康心理学杂志》
2018年第10期1544-1547,共4页
China Journal of Health Psychology
关键词
脑小血管病
认知
情感
日常生活能力
Cerebral small vessel diseases
Cognitive function
Emotion
Activities of daily living
