简易精神状态检查法与修订的长谷川痴呆量表的临床应用

Clinical use of Mini Mental Status Examination and Revised Nagatanikawa Dementia Scale

目的分析修订的长谷川智力量表与简易精神状态检查法在临床应用中的同异点。方法在正常老年组,多发性脑梗死组,大面积脑梗死组病例中,同时进行以上两种测试。结果病例组与正常组测试的结果均 P<0.01,出现在修订的长谷川智力量表痴呆前期项病例的认知功能障碍相当于简易精神状态检查法中痴呆项的认知功能障碍的程度。结论对大面积脑梗死组与多发性脑梗死组病人进行以上两种量表的测试有临床意义。但需要设计适应国人国情的简易智力测试表。

Objective To analize the similarities and differences between Revised Nagatanikawa Dementia Scale and Mini Mental Status Examination in the clinical application.Methods All patients were divided into three groups,that is,the normal aged group,the multiple cerebral infarction group,and extensive infarction group.Above- mentioned assays were made and all the results were P<0.01.It indicated that there was a clinical significance mak- ing assays according to abovementioned two scales in patients wtih extensive infarction and multiple cerebral infarc- tion.Results In the diseased groups and the normal aged group the test result was P<0.01.The cognitive dys- function at earlier stage of dementia in Revised Nagatanikawa Dementia Scale was equal to the level of cognitive dys- function of dementia in Mini Mental Status Examination.Conclusion Test with abovementioned two scales has clinical significance in patients of the multiple cerebral infarction group and in patients of the extensive infarction group.It is necessary to work out a intelligence scale which is fit for national conditions of China.