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韦氏数字符号替代测验作为阿尔茨海默病和正常衰老患者驾驶能力受损风险的最佳指标。

The Wechsler Digit Symbol Substitution Test as the best indicator of the risk of impaired driving in Alzheimer disease and normal aging.

机构信息

UMR T9405 (INRETS/Université de Lyon - Lyon 1/Institut de Veille Sanitaire), Bron, France.

出版信息

Dement Geriatr Cogn Disord. 2010;29(2):154-63. doi: 10.1159/000264631. Epub 2010 Feb 11.

Abstract

AIMS

Our purpose was to identify cognitive tools associated with unsafe driving among elderly drivers of varying cognitive levels.

METHODS

Twenty drivers with early-stage dementia of the Alzheimer type and 56 nondemented drivers aged 65-85 were recruited. Various cognitive processes were measured and unsafe driving was evaluated during an in-traffic road test with 3 different indicators and a composite indicator.

RESULTS

The Wechsler Digit Symbol Substitution Test score was the best cognitive measure to detect unsafe drivers using the composite driving indicator.

CONCLUSION

The Digit Symbol Substitution Test may be used by physicians for the evaluation and follow-up of older patients, with or without Alzheimer-type dementia, as a screening tool of unsafe driving.

摘要

目的

本研究旨在识别不同认知水平的老年驾驶员中与不安全驾驶相关的认知工具。

方法

招募了 20 名患有早期阿尔茨海默病痴呆症的驾驶员和 56 名年龄在 65-85 岁之间的非痴呆驾驶员。在有 3 种不同指标和综合指标的道路交通测试中,测量了各种认知过程,并评估了不安全驾驶行为。

结果

韦氏数字符号替换测验得分是使用综合驾驶指标检测不安全驾驶员的最佳认知测量指标。

结论

数字符号替换测验可用于医生评估和随访伴有或不伴有阿尔茨海默病类型痴呆的老年患者,作为不安全驾驶的筛查工具。

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