【摘要】 目的探讨蒙特利尔认知评估(MoCA)量表在动脉瘤性蛛网膜下腔出血(aSAH)患者认知功能障碍评估中的应用价值。方法纳入2017年2月至2019年2月aSAH患者34例(研究组)和普外科患者40例(对照组),并对两组患者采用MoCA量表进行评价。比较两组患者MoCA评分的差异。结果研究组患者的MoCA评分明显低于对照组(P<0.05),且研究组中认知功能障碍发生率明显高于对照组,差异具有统计学意义(P<0.05);研究组视空间与执行功能、注意、计算、抽象、定向评分均明显低于对照组,差异具有统计学意义(P<0.05)。结论 MoCA量表可以作为一个良好的工具对aSAH患者进行认知功能评估和筛查,值得临床推广。更多还原

【Abstract】 Objective To investigate the application value of Montreal cognitive assessment(MoCA) in the assessment of cognitive dysfunction in patients with aneurysmal subarachnoid hemorrhage(aSAH). Methods From February 2017 to February 2019, 34 patients with a SAH(study group) and 40 patients with general surgery(control group) were enrolled,and the two groups were evaluated by MoCA scale. The differences of MoCA score between the two groups were compared. Results The MoCA score of the study group was significantly lower than that of the control group(P<0.05),and the incidence of cognitive dysfunction in the study group was significantly higher than that of the control group,and the differences were statistically significant(P <0.05);and the scores of space and executive function, attention,calculation, abstraction and orientation in the study group were significantly lower than those in the control group, and the differences were statistically significant(P <0.05). Conclusion The MoCA scale can be used as a good tool for cognitive function assessment and screening of aSAH patients, which is worthy of clinical popularization.更多还原