蒙特利尔认知评估量表MoCA在成都市社区老年性痴呆筛查中的应用分析-神经病学专业毕业论文.docxVIP

度、效度、敏感性、特异性和Youden指数，评价MoCA对成都市社区老年人AD 度、效度、敏感性、特异性和Youden指数，评价MoCA对成都市社区老年人AD 筛查的应用价值，并计算适合我市老年人AD患者的划界分值。结果：参与此次社 区调查并配合完成所有测试的60岁以上人数为674人，AD患者44人，总检出率 为6．53％。本研究显示教育程度、年龄、性别、职业对AD的影响均有明显统计学 意义(PO．01)j MoCA量表的Cronbach’s a为O．852，具有较好的信度；其总分 与MMSE比较，相关系数为O．834，校标效度良好；各子项得分除地点定向和连线 外，均与总分相关(相关系数O．5)，内容效度良好。结论：成都市社区老年人 AD检出率高，今后应加强宣传教育及筛查力度；教育程度是AD的保护性因素， 高龄是AD的危险因素：用MoCA量表对社区老年人认知功能的筛查是简便可行 的，具有良好的信度、效度和敏感性，根据本研究结果分析，推荐以15分作为我 市社区老年人AD的分界值。 关键词：蒙特利尔认知评估量表；阿尔茨海默病；社区 Application Application and Analysis Montreal Cognitive Assessment Screening for Alzheimer’S disease in Chengdu community Abstract：0bjective：With the rapid economic development，China and the world into an aging society。The extension of life expectancy and the high demands on quality of life is that people continue to pursue one of the requirements。The dementia quality of life for older persons has become apparent that people’S concern for dementia diseases are growing。Dementia is an acquired，progressive cognitive dysfunction syndrome，and Alzheimer’S disease(AD)is the most common dementia type。Dementia consciousness of the content rather than the level of awareness。The incidence of dementia and prevalence increase with age。Survey of foreign，Prevalence of dementia in people over the age of 60 to 1％，40％over the age of 85 or more。According to the report of prevalence of dementia in people over 60 years of age was 0．75％-4．69％。To achieve early detection，early diagnosis，early intervention is to improve the key to dementia diseases，It can also significantly reduce the hazards of AD，reduce the burden on society and the family。According to incomplete statistics，in 2006 worldwide was about 2600 million AD patients，in 2050，AD patients will be 4 times nOW，which means every 85 individualst，here is a AD patients，and to cause great social and family burden。The Diagnosis of AD is through neuropsychology，imaging biochemistry， molecular biology and clinical performance，the neuropsychological examination scale diagnosis