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基于Ipad认知评估训练软件对老年轻度认知功能 障碍的筛查
孙跃岐王薇徐毅徐虹阳志平张曦吕晨光黄成维温子阳
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摘要:
目的 评估Ipad 认知评估训练软件(具有筛查和训练功能)对老年轻度认知功能障碍的筛 查效果。方法 选取2015 年6 月— 2016 年12 月在北京小汤山医院健康体检的老年人为研究对象,采用 Ipad 认知评估训练软件和北京版蒙特利尔认知量表(MoCA)同时进行筛查评估。结果 以北京版MoCA 评分的不同受教育年限不同界值来判断,老年认知功能障碍的检出率是23.53%(160/680)。以Ipad 认知 评估训练软件筛查,老年轻度认知功能障碍的检出率是24.85%(169/680)。两种方法检出率之间差异无 统计学意义(P> 0.05)。两种方法检出结果存在一致性(Kappa=0.755,P< 0.001)。结论 可以使用Ipad 认知功能评估训练软件进行老年认知障碍的初步筛查。
关键词:  老年人  认知障碍  Ipad 认知评估训练软件
DOI:10.3969/j.issn.1009-6574.2019.03.017
基金项目:首都临床特色应用研究与成果推广(Z151100004015028)
Screening of mild cognitive impairment in the elderly population using Ipad-based cognitiveassessment and training software
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Abstract:
Objectives To evaluate the screening effect of Ipad-based cognitive assessment and training software( with screening and training functions) for elderly patients with mild cognitive impairment. Methods In this study, we selected the elderly individuals who underwent physical examination in Xiaotangshan Hospital of Beijing as the research subjects, and used Ipad cognitive assessment and training software and Beijing version of Montreal Cognitive Assessment( MoCA) to conduct screening and evaluation. Results The detection rate of cognitive impairment in the elderly was 23.53% using MoCA based on the different educational years and different thresholds of MOCA score in the Beijing version. The detection rate of mild cognitive impairment in the elderly was 24.85% using Ipad cognitive assessment and training software. There was no statistical difference between the two methods( P > 0.05). The results of the two methods were consistent( Kappa=0.755,P < 0.001). Conclusions Ipad cognitive assessment and training software can be used for the preliminary screening of cognitive impairment in the elderly population.
Key words:  The elderly  Cognitive disorders  Ipad cognitive assessment and training software

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