Maeshima Shinichiro, Tanemura Jun, Osawa Aiko, Kawarada Miho, Sekiguchi Eri, Itakura Toru
Kawasaki University of Medical Welfare.
No To Shinkei. 2006 Mar;58(3):207-11.
To investigate the usefulness of the frontal assessment battery (FAB) as a brief assessment for diagnosis in patients with dementia, we examined cognitive function using the FAB, Mini-mental state examination (MMSE), Kana-hiroi test, and Raven's colored progressive matrices (RCPM). Subjects were 82 senile patients having amnesia as a complaint including 28 Alzheimer's disease (AD), 14 frontotemporal dementia (FTD), 17 vascular dementia (VD), 13 mild cognitive impairment (MCI), and 10 healthy persons. We discussed the difference of scores in different types of dementia. In the FAB, the scores of healthy persons and MCI were much higher compared with the scores of all types of dementia. There were high correlation between FAB and MMSE, Kana-hiroi test, and RCPM. Although some subjects showed normal score in MMSE and/or RCPM, they showed low score in FAB. Based on this, FAB is efficient for the differential diagnosis of dementia as brief screening tool.
为研究额叶评估量表（FAB）作为痴呆患者诊断的简短评估工具的有效性，我们使用FAB、简易精神状态检查表（MMSE）、假名认知测试和瑞文彩色渐进矩阵测验（RCPM）对认知功能进行了检查。研究对象为82例以失忆为主要症状的老年患者，其中包括28例阿尔茨海默病（AD）、14例额颞叶痴呆（FTD）、17例血管性痴呆（VD）、13例轻度认知障碍（MCI）患者以及10名健康人。我们探讨了不同类型痴呆患者得分的差异。在FAB测试中，健康人和MCI患者的得分明显高于所有类型痴呆患者的得分。FAB与MMSE、假名认知测试和RCPM之间存在高度相关性。尽管一些受试者在MMSE和/或RCPM测试中得分正常，但在FAB测试中得分较低。基于此，FAB作为一种简短的筛查工具，在痴呆的鉴别诊断中是有效的。
