燕铁斌，伍少玲，郭友华，黄利荣.Loewenstein认知评定量表与简易精神状态检查评定脑损伤患者认知功能的比较[J].中华物理医学与康复杂志,2004,(7):
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| Loewenstein认知评定量表与简易精神状态检查评定脑损伤患者认知功能的比较 |
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| DOI： |
| 中文关键词: 脑损伤 认知功能 LOTCA 简易精神状态检查 |
| 英文关键词: Cognition Loewenstein occupational therapy cognitive assessment Mini-mental status examination Brain injury |
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| 中文摘要: |
| 目的比较Loewenstein认知功能评定量表（LOTCA）与简易精神状态检查（MMSE）评定脑损伤患者和同年龄组非脑损伤患者的结果，并分析LOTCA的特征。 方法2组对象参加研究,病例组（36例）男28例,女8 例,平均年龄（61.0±16.7）岁;对照组（44例）男19例,女25例,平均年龄（55.4±23.7）岁。分别采用LOCTA和MMSE对2组对象评定，同时对其评定结果进行相关性和项目内容比较。 结果LOTCA和MMSE总分高度相关（r=0.892，P<0.001）,LOTCA总分与MMSE子项目（除了记忆力）呈中至高度相关（r=0.640～0.871,P<0.001）。对照组MMSE总分正常者中，LOTCA评定发现视运动组织项和思维操作项得分明显低于其他几项。完成LOTCA所需时间是MMSE的3倍。 结论LOTCA较MMSE能更全面地评定认知功能,特别是在视运动组织和思维操作方面，可作为临床上深入研究认知功能的工具。 |
| 英文摘要: |
| Objective To assess the cognitive function of subjects with brain injury with Loewenstein occupational therapy cognitive assessment (LOTCA) and mini-mental status examination (MMSE). MethodsTwo groups of subjects participated in this study. One group consisted of 36 subjects with brain injury (patient group). They were 28 males and 8 females, aged 61.0±16.7 years old. The other group was made of 44 healthy subjects (control group), with 25 males and 19 females, aged 55.4±23.7 years old. All subjects were assessed using LOTCA and MMSE and the results of them were analyzed. ResultsThere was high correlation between the total scores of LOTCA and those of MMSE （r=0.892，P<0.001）. Middle to high correlations were also found between the total scores of LOTCA and the sub-items of MMSE （r=0.640~0.871,P<0.001）. Among the subjects with normal scores of MMSE, lower scores in LOTCA were found in the sub-items, such as visual movement and logical operation. It took three times time of that for MMSE to complete the test of LOTCA. ConclusionLOTCA is better for assessing cognitive function than MMSE and it can be used as a tool in clinical study of cognition. |
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