摘要
目的探讨老年精神分裂症患者认知功能损害的范围和特点以及不同治疗方式的影响。方法采用世界卫生组织老年认知功能评价成套神经心理测验(WHOBCAI)、简易智能状态检查(MMSE)、日常生活量表(ADL)为工具,对长期住院与门诊治疗的老年精神分裂患者和正常老年人进行测试。结果3个组MMSE总分平均为(21.4±3.6)分、(25.2±4.3)分、(28.9±1.2)分;ADL总分平均为(29.3±8.7)分、(25.4±7.8)分、(20.1±1.3)分;WHOBCAI测验结果显示,3个组在听觉词汇学习、语言能力、视觉辨认、注销、连线、分类、精神运动和空间结构测验中分别差异具有显著性(P<0.05或P<0.01)。结论老年精神分裂症患者认知功能有明显广泛的障碍,长期住院的老年精神分裂症患者认知能力损害较门诊治疗者更加严重。
Objective To study the range and characteristic of cognitive function damage in elderly schizophrenics and the effects of different therapeutic method. Methods The World Health Organization battery of cognitive assessment instruments for elderly （WHO-BCAI）, mini-mental state examination （MMSE） and Activity of Daily Living scale （ADL） were tested to evaluate long-term inpatient and outpatient elderly schizophrenics and normal elderly people. Results The respective MMSE score of three groups is 21.4 ± 3.6, 25.2 ± 4.3, 28.9 ± 1.2 ;the respective ADL score of three group is 29.3 ± 8.7, 25.4 ± 7.8, 20. 1 ±1.3. The result of the WHO- BCAI exam shows that the three groups have marked statistical difference （ P 〈 0.05 or P 〈 0.01 ） in verbal learning, language capability, visual recognizing, canceling, trail making, sorting, mental activity and spatial construction. Conclusion There are broad and obvious cognitive handicap in elderly schizophrenics, and long-term inpatient elderly schizophrenics are more serious than outpatients.
出处
《中国行为医学科学》
CSCD
2005年第12期1087-1088,共2页
Chinese Journal of Behavioral Medical Science
