
Analysis of Neuropsychological Characteristics of Cognitive Impairment in Alzheimer's Disease
ZHANGYan, GUOChenchen, ZHANGYujie, LIUJia, LIUTing, MAIErhaba·Sailimu, MENGXinling
Chinese Journal of Alzheimer's Disease and Related Disorders ›› 2021, Vol. 4 ›› Issue (1) : 69-72.
Abbreviation (ISO4): Chinese Journal of Alzheimer's Disease and Related Disorders
Editor in chief: Jun WANG
Analysis of Neuropsychological Characteristics of Cognitive Impairment in Alzheimer's Disease
Neuropsychological characteristics of cognitive impairment in patients with Alzheimer's disease (Alzheimer's disease, AD).
Patients with AD from January 2016 to December 2018 in our clinical big database of neurodegenerative diseases were selected as subjects. These patients were divided into 4 groups and a complete neuropsychology scale which used to assess their cognitive functions.
Among the 384 cases, there were 84 cases of AMCI, 130 cases of mild AD, 131 cases of moderate AD, and 39 cases of severe AD. In terms of overall cognitive function assessment, the MMSE scale shows the total score of MMSE (F=160.88, P=0.000), Time orientation (F=58.748, P=0.000), spatial orientation (F=93.327, P=0.000), instant memory (F=11.245, P=0.000), computing power (F=44.654, P=0.000), delayed recall (F=13.266, P=0.000), object naming (F=25.823, P=0.000), speech comprehension (F=9.680, P=0.000), speech expression (F=19.102, P=0.000), visual space ability ( F=15.885, P=0.000) have significant differences; There was no significant difference in language retelling (F=1.395, P=0.244). MoCA total score (F=152.260, P=0.000), visual space and executive function (F=37.644, P=0.000), drawing clock test (F=8.847, P=0.000), naming (F=22.085) in the MoCA scale, P=0.000), attention (F=39.832, P=0.000), calculation (F=48.680, P=0.000), language (F=27.003, P=0.000), abstract (F=12.045, P=0.000) There were significant differences in delayed recall (F=6.710, P=0.000) and orientation (F=19.500, P=0.000) (P<0.05). The application of the HAMD scale to assess the depression status of AD patients with different degrees showed that there were significant statistical differences between the groups (F=3.087, P=0.027); the HAMA scale had no statistical difference in the four groups of anxiety evaluation (F=2.023, P=0.110); The NPI scale has significant statistical differences in the evaluation of psychiatric symptoms (F=38.389, P=0.000).
Cognitive impairment is common in patients with Alzheimerundefineds disease. situational memory is the core symptom of Alzheimerundefineds disease. with the aggravation of Alzheimerundefineds disease, cognitive comprehensive decline is carried out, a complete set of neuropsychological evaluation is carried out, delayed recall is the characteristic symptom, and attention loss is aggravated with the progress of the disease.
Alzheimer's disease / Cognitive Function Impairment / Psychology Scale
[1] |
|
[2] |
陈庆华, 张凤强, 李立新, 等. 阿尔茨海默病发病机制和诊断技术研究进展[J]. 中华老年心脑血管病杂志, 2018, 020(1): 108-110.
|
[3] |
方军艳, 刘剑刚, 李浩, 等. 阿尔茨海默病的临床诊断评价量表概述及临床应用进展[J]. 中西医结合心脑血管病杂志, 2018, 016(12): 1671-1675.
|
[4] |
|
[5] |
|
[6] |
|
[7] |
|
[8] |
|
[9] |
史瑶, 徐亚林. 蒙特利尔认知评估量表联合延迟回忆部分限时施测应用于老年人轻度认知功能障碍筛查的研究[J]. 中国康复医学杂志, 2018, 33(1): 59-62.
|
[10] |
樊响, 杨延辉, 贾秀琴, 等. 轻度认知障碍静息态功能磁共振研究低频振幅分析[J]. 首都医科大学学报, 2018, 39(2): 163-166.
|
[11] |
唐煜, 郝单单, 秦玮婷, 等. 轻度阿尔茨海默病患者年龄对蒙特利尔认知评估量表基本版得分的影响[J]. 首都医科大学学报, 2019, 40(4): 652-655.
|
[12] |
|
/
〈 |
|
〉 |