基础医学与临床 ›› 2015, Vol. 35 ›› Issue (7): 956-958.

• 研究论文 • 上一篇    下一篇

阻塞性睡眠呼吸暂停综合征患者轻度认知功能障碍的MoCA评估

王前,刘丽梅,林永忠   

  1. 大连医科大学附属第二医院
  • 收稿日期:2014-12-19 修回日期:2015-03-25 出版日期:2015-07-05 发布日期:2015-06-23
  • 通讯作者: 刘丽梅 E-mail:liulimei109@163.com

The application of MoCA in obstructive sleep apnea syndrome patients with mild cognitive impairment

  • Received:2014-12-19 Revised:2015-03-25 Online:2015-07-05 Published:2015-06-23

摘要: 目的 探讨简易精神状态检查量表(MMSE)、蒙特列尔认知评估量表(MoCA)评估阻塞性睡眠呼吸暂停综合征(OSAS)患者轻度认知功能障碍(MCI)的可行性。方法 用便携式多导睡眠仪、MMSE及MoCA对51名OSAS患者和35名单纯鼾症者进行睡眠监测和认知功能的评价。结果 OSAS组MoCA评分结果为21.1±3.0,显著低于对照组 25.0±2.6(P<0.01);MMSE评分结果在OSAS组与对照组中分别为27.8±1.8及28.1±1.7,无差异。结论 MoCA对于OSAS患者MCI的早期诊断敏感性优于MMSE,对于MMSE测试结果正常但高度怀疑存在MCI者,MoCA是一种简便可行的筛查工具。

关键词: 阻塞性睡眠呼吸暂停,轻度认知功能障碍,神经心理学测试

Abstract: Objective Obstructive sleep apnea syndrome (OSAS) is known to be associated with impairment in cognitive function. The aim of this study is to develop a sensitive screening tool to detect mild cognitive impairment (MCI) among Chinese patients with OSAS. Methods There were totally 51 0SAS patients (OSAS group) and 35 primary snoring peoples (control group) included in our study. All of them were monitored by polysomnography (PSG), administered by the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) questionnaires to assess their sleep condition and cognitive function. Results Compared with control group, the score of MoCA in OSAS group was 21.1±3.0, strikingly lower than the control group 25.0±2.0(P<0.01),the score of MMSE in OSAS group and control group were 27.8±1.8 and 28.1±1.7,the difference were of no significance. Conclusions The MoCA is a brief and sensitive tool for the assessment of MCI in OSAS patients, whose performance on the MMSE is in the normal range.

Key words: Obstructive sleep apnea syndrome mild cognitiveimpairment Neuropsychological test