脑卒中后轻度认知障碍的评定和康复新进展

Advance in Evaluation and Rehabilitation of Mild Cognitive Impairment after Stroke(review)

本文对脑卒中后轻度认知功能障碍(MCI)的评价及干预方法进行综述。MCI的评价方法主要有:简易精神量表(MMSE);美国国家神经失调和脑卒中协会(NINDS)及加拿大脑卒中网(CSN)联合设计的3种测试(包括60min、30min、5min的测试);蒙特利尔认知评估量表(MoCA)、分类测试法等。其中MoCA具有简短、实用、有效的优点,但还没有中国人群大样本调查的常模。而MCI的干预方法很多,但仍停留于试验阶段,尚未形成系统的、有循证医学证据的方法。

This paper reviewed the methods of evaluation and rehabilitation of mild cognitive impairment （MCI） after stroke. The results showed that the methods of evaluation included Mini Mental State Examination（MMSE）, three methods designed by The National Institute for Neurological Disorders and Stroke（NINDS） and The Canadian Stroke Network（CSN）, and Montreal Cognitive Assessment （MoCA） and category test. The MoCA as the focus is brief, practical and effective as the major advantages. Many methods of rehabilitation existed are still lack of evidence to support their effieacv.