GPCOG中文版对轻度认知功能障碍和正常老人的评分比较-东南大学学报医学版

GPCOG中文版对轻度认知功能障碍和正常老人的评分比较

单位：上海交通大学医学院附属精神卫生中心/上海交通大学阿尔茨海默病诊治中心老年精神科, 上海 200030

分类号：R749.16

出版年·卷·期（页码）：2018·37·第二期（289-292）

摘要：

目的：对轻度认知功能障碍老人和正常老人的全科医生认知功能评估量表（GPCOG）中文版评分进行对比，分析GPCOG中文版对轻度认知功能障碍的区分能力。方法：本次研究选取的一般资料为2014年1月至2016年1月我院老年科门诊随访的轻度认知功能障碍老年患者48例，将其设为观察组，另取同时期在我院进行记忆检测的正常老人50例，将其设为对照组。对比两组的GPCOG评分。结果：对照组的时间定向力、画钟试验、时事、回忆、GPCOG患者部分分数、GPCOG知情者部分分数和GPCOG总分均高于观察组，差异具有统计学意义（P<0.05）；GPCOG总分在对两组进行区分时，其曲线下面积（AUC）为0.958，敏感度为91.7%，特异度为90.0%。结论：轻度认知功能障碍老人的GPCOG中文版评分明显低于正常老人，GPCOG中文版评分在对轻度认知功能障碍老人与正常老人进行区分时效果显著。

Objective:To evaluate the cognitive function of mild cognitive dysfunction in the elderly and the normal elderly by GPCOG, and analyse the differentiating ability of GPCOG Chinese version of mild cognitive impairment. Methods:48 cases of mild cognitive impairment in the elderly patients from January 2014 to January 2016 in the outpatient department of our hospital were selected as the observation group. And at the same time, 50 cases of normal elderly doing memory test were selected as the control group. The GPCOG scores of the two groups were compared. Results:The time orientation, clock drawing test, current affairs, memories, GPCOG scores, GPCOG patients informed part scores and GPCOG scores in the control group were lower than those in the observation group, the difference was statistically significant (P<0.05); the area under the curve (AUC) was 0.958, sensitivity was 91.7%, the specificity was 90%. Conclusion:The scores of GPCOG Chinese version of mild cognitive impairment in elderly are significantly lower than those in the normal elderly, and the distinguishing effect between mild cognitive impairment and the normal elderly is significant.

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