Xu Yan, Chen Keliang, Zhao Qianhua, Guo Qihao
Department of Neurology, Huashan Hospital, Fudan University, Shanghai, China.
Psychogeriatrics. 2018 Jan;18(1):64-71. doi: 10.1111/psyg.12293.
The present study was conducted to detect neuropsychological differences and to identify discriminators between mild dementia with L ewy bodies (DLB ) and mild A lzheimer's disease (AD ).
The present study included 37 mild DLB patients, 48 mild AD patients, and 80 healthy elderly individuals. A comprehensive battery of neuropsychological tests was administrated to assess their cognitive function. Linear stepwise discriminant analysis was used to identify the neuropsychological measures with values that could differentiate between mild DLB and mild AD .
The mild DLB group had greater impairments in attention, executive function, and visuospatial ability, while mild AD patients performed significantly worse on memory tests. Linear stepwise discriminant analysis indicated that the M emory and E xecutive S creening's 5-min delayed recall test was the best neuropsychological discriminator between mild DLB and mild AD .
Different patterns of cognitive impairment facilitate the differentiation of mild DLB from mild AD . For patients with mild dementia, better performance on the M emory and E xecutive S creening's 5-min delayed recall test suggests that the diagnosis is more likely DLB than AD .
本研究旨在检测轻度路易体痴呆(DLB)和轻度阿尔茨海默病(AD)之间的神经心理学差异,并确定鉴别因素。
本研究纳入了37例轻度DLB患者、48例轻度AD患者和80名健康老年人。采用一套全面的神经心理学测试来评估他们的认知功能。使用线性逐步判别分析来确定能够区分轻度DLB和轻度AD的具有判别价值的神经心理学指标。
轻度DLB组在注意力、执行功能和视空间能力方面有更严重的损害,而轻度AD患者在记忆测试中的表现明显更差。线性逐步判别分析表明,记忆与执行筛查的5分钟延迟回忆测试是区分轻度DLB和轻度AD的最佳神经心理学鉴别指标。
不同的认知障碍模式有助于区分轻度DLB和轻度AD。对于轻度痴呆患者,在记忆与执行筛查的5分钟延迟回忆测试中表现较好表明诊断为DLB而非AD的可能性更大。