3种认知功能障碍评定量表在中、重型颅脑损伤后患者120例的应用研究

Application study on 3 kinds of cognitive disorder assessment scale in 120 cases of moderate and severe traumatic brain injury

目的评价长谷川痴呆量表(HDS)、Blessed行为量表(BBS)和简易精神状态检查表(MMSE)3种量表在中、重型颅脑损伤后认知障碍测定中的应用价值。方法选取2009年12月至2010年10月于该院神经外科就诊确定为中、重型颅脑损伤后认知障碍患者120例为实验组。选取同期该院体检后确定为健康的志愿者120例为对照组,比较两组采用3种认知功能评价量表的评价结果。结果 MMSE、HDS、BBS的敏感度分别为66.7%、79.9%、93.2%。特异度分别为100.0%、84.9%、28.7%。结论 MMSE评价量表的特异度、阳性预测值较HDS和BBS评价量表高,BBS评价量表的敏感度较MMSE和HDS评价量表高。

Objective To evaluate the application value of 3 kinds of assessment scales,Kyohko Hasegawa’s dementia scale（HDS）,the Blessed behavior scale（BBS） and the mini-mental state examination（MMSE） table,in cognitive disorder determination after moderate and severe traumatic brain injury.Methods 120 patients with cognitive disorder after moderate and severe traumatic brain injury in the neurosurgery department of this hospital from December 2009 to October 2010 were selected as the experimental group.Contemporaneous 120 healthy volunteers were selected as the control group.The two groups were performed the MMSE,HDS and BBS test and the test results were compared between the two groups.Results The sensitivity of MMSE,HDS and BBS was 66.7%,79.9% and 93.2% respectively.The specificity was 100.0%,84.9% and 28.7% respectively.The abilities of memory,directional force,calculation,visual space in patients of experimental group were seriously damaged.Conclusion The specificity and the positive predictive value in MMSE are higher than those in HDS and BBS.BBS has higher sensitivity than MMSE and HDS.