神经心理测验和轻性痴呆

The Use of Neuropsychological Tests in Detecting Mild Dementia.

应用简易痴呆筛查量表（ＢＳＳＤ）、简易智力检查表（ＭＭＳＥ）、常识记忆注意测验（ＩＭＣＴ）、长谷川痴呆量表（ＨＤＳ）、Ｆｕｌｄ物体记忆测验（ＦＯＭ）、言语流畅性测验（ＲＶＲ）、积木测验（ＢＤ）、数字广度测验（ＤＳ）、日常生活功能量表（ＡＤＬ）检测３０７５例社区老人，结果发现对轻性痴呆诊断敏感的指标有（１）由ＢＳＳＤ、ＭＭＳＥ、ＨＤＳ筛选出的４个因子：时间定向、计算／注意、常识／图片理解、名词即刻记忆；（２）ＦＯＭ、ＲＶＲ、ＢＤ。

Using Brief Scale for Dementia (BSSD), Mini-Mental State Examination (MMSE), Information-Memory-Concentration Test (IMCT), Hasegawa Dementia Scale (HDS), Fuld Object-Memory Evaluation (FOM), Rapid Verbal Retrieve (RVR), Block Design (BD), Digit Span (DS) and Activities of Daily Living Scale (ADL), the cognitive functioning and living ability of 3075 old people in the community were investigated. It was found that the following were sensitive for the diagnosing of mild dementia: (1) 2 or more than 2 of the FOM, RVR, BD and DS were positive (sensitivity=0.92; specificity=0.84). (2) 4 factors (15 items) out of BSSD, MMSE, IMCT and HDS constiute 'sensitive factors synthesis' (sensitivity=0.60; specificity=0.79).