三种认知量表间记忆内容的相关性分析

doi:10.3969/j.issn.1006-9771.2020.07.014

摘要/Abstract

摘要：

目的探讨简易精神状态检查(MMSE)、蒙特利尔认知评估量表(MoCA)和Rivermead行为记忆量表-Ⅲ(RBMT-Ⅲ)在脑损伤患者记忆能力评估中的相关性以及特点。方法 2016年3月至2018年2月,脑损伤患者62例完成MMSE、MoCA和RBMT-Ⅲ测评,并进行相关性分析。结果三个量表总分间呈正相关(r = 0.682~0.786, P < 0.001),回溯性记忆( r = 0.525~0.610, P < 0.001)和长时记忆评分间均呈正相关( r = 0.553~0.692, P < 0.001)。RBMT-Ⅲ短时记忆与MMSE短时记忆评分呈正相关( r = 0.337, P = 0.007)。RBMT-Ⅲ前瞻性记忆与MMSE、MoCA回溯性记忆呈正相关(r = 0.639、r = 0.585, P < 0.001),RBMT-Ⅲ短时记忆与MMSE、MoCA长时记忆呈正相关( r = 0.454、r = 0.534, P < 0.001)。结论 MMSE、MoCA和RBMT-Ⅲ评估脑损伤患者回溯性记忆和长时记忆具有良好的一致性;RBMT-Ⅲ和MMSE评估脑损伤患者短时记忆也具有良好的一致性;脑损伤患者MMSE和MoCA记忆分项有助于评估基于事件的前瞻性记忆水平,而长时记忆分项有助于评估短时记忆水平。

关键词: 脑损伤, 记忆, 简易精神状态检查, 蒙特利尔认知评估量表, Rivermead行为记忆量表

Abstract:

Objective To explore the correlation and characteristics of Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA) and Rivermead Behavioural Memory Test-III (RBMT-III) in evaluating memory ability of patients with brain injuries.Methods From March, 2016 to February, 2018, 62 patients with brain injuries were evaluated with the Chinese version of MMSE, MoCA and RBMT-III. The correlation among them was analyzed. Results There was positive correlation among the total scores of MMSE, MoCA and RBMT-III (r = 0.682 to 0.786, P < 0.001), as well as the retrospective memory ( r = 0.525 to 0.610, P < 0.001) and long-term memory ( r = 0.553 to 0.692, P < 0.001). There was positive correlation between RBMT-III and MMSE in short-term memory ( r = 0.337, P= 0.007). The prospective memory of RBMT-III positively correlated with retrospective memory of MMSE and MoCA (r = 0.639, r = 0.585, P < 0.001), and the short-term memory of RBMT-III with long-term memory of MMSE and MoCA ( r = 0.454, r = 0.534, P < 0.001). Conclusion MMSE, MoCA and RBMT-III are consistent in evaluating retrospective memory and long-term memory for patients with brain injuries. RBMT-III and MMSE are consistent in evaluating short-term memory for patients with brain injuries. The memory scores of MMSE and MoCA are helpful to judge the event-based prospective memory in patients with brain injuries, while the scores of long-term memory are helpful to judge short-term memory.

Key words: brain injuries, memory, Mini-Mental State Examination, Montreal Cognitive Assessment, Rivermead Behavioural Memory Test

中图分类号:

R742

张霜,吴野环,张一,张瑜,程云. 三种认知量表间记忆内容的相关性分析[J]. 《中国康复理论与实践》, 2020, 26(7): 807-812.

ZHANG Shuang,WU Ye-huan,ZHANG Yi,ZHANG Yu,CHENG Yun. Correlation among Three Cognitive Tools in Memory Assessment[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(7): 807-812.

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MMSE	MoCA长时记忆(原始分)		MoCA-MIS		MoCA总分
MMSE	r	P	r	P	r	P
短时记忆	0.276	0.030	0.291	0.022	0.353	0.005
长时记忆	0.569	< 0.001	0.612	< 0.001	0.610	< 0.001
回溯性记忆	0.572	< 0.001	0.613	< 0.001	0.619	< 0.001
量表总分	0.391	0.002	0.446	< 0.001	0.710	< 0.001