蒙特利尔认知评估量表筛查2型糖尿病患者轻度认知障碍的最佳临界值及其价值.docVIP

· 142 · htp://www.chinagp. net E-mail; zgqhyx@ chinagp. net · 专 题 研 究 · 蒙特利尔认知评估量表筛查2型糖尿病患者 轻度认知障碍的最佳临界值及其价值 宫娟，郑红英，何勇，汪璐璐，刘安诺 【摘要】 目的 探讨蒙特利尔认知评估 (MoCA) 量表筛查2型糖尿病患者轻度认知障碍的最佳临界值及其价 值。方法 选择2015年1—5月在合肥市某所三级甲等医院内分泌科住院的2型糖尿病患者158 例，使用欧洲联盟轻 度认知障碍工作组诊断标准为确诊轻度认知障碍金标准，对2型糖尿病患者使用MoCA 量表(长沙版)进行轻度认知 障碍筛查，获取其最佳临界值并判断其价值。结果 MoCA 量表(长沙版)筛查2型糖尿病患者轻度认知障碍最佳临 界值为25.5分，分值取整后，最佳临界值为26分，其灵敏度为87.0%,特异度为90.1%,阳性预测值为89.3%,阴 性预测值为88.0%,Kappa 值为0.77,一致性较好。 ROC 曲线下面积为0.952 〔SE=0.015,95%CI(0.922,0.983), P0.01]。 结论 MoCA 量表(长沙版)筛查2型糖尿病患者轻度认知障碍最佳临界值为26分，诊断准确性高，可作 为临床筛查2型糖尿病患者轻度认知障碍的有效工具。 【关键词】 糖尿病，2型；轻度认知障碍；最佳临界值；曲线下面积；蒙特利尔认知评估量表 【中图分类号】 R587.1 【文献标识码】 A doi;10.3969/j.issn.1007-9572.2016.02.004 宫娟，郑红英，何勇，等.蒙特利尔认知评估量表筛查2型糖尿病患者轻度认知障碍的最佳临界值及其价值 [J]. 中国全科医学，2016,19(2):142- 145.[] Gong J, Zheng HY, He Y,et al. Cut-off value of montreal cognitive assessment scale in the screening of mild cognitive impairment in patients with type 2 diabetes mellitus and its value [J]. Chinese General Practice,2016, 19 (2):142- 145. Cut-off Value of Montreal Cognitive Assessment Scale in the Screening of Mild Cognitive Impairment in Patients With Type 2 Diabetes Mellitus and Its Value GONG Juan, ZHENG Hong -ying, HE Yong,et al. Nursing School of Anhui Medical University,Hefei 230601,China 【Abstract] Objective To investigate the optimum cut - off value of Montreal Cognitive Assessment(MoCA)in the screening of mild cognitive impairment(MCI)in patients with type 2 diabetes mellitus(T2DM). Methods We enrolled 158 T2DM patients who were admitted into the endocrinology department of a grade A class three hospital in Hefei from January to May in 2015.Using diagnostic criteria for mild cognitive impairment by EU working group as the golden criteria, we conducted screening for MCI in T2DM patients by MoCA scale(Changsha version)and obtained optimum cut - off value and its value. Results The optimum cut - off value of MoCA scale(Changsha version)in the screening of MCI in T2DM pati