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[中文版简短精神状态检查表的改良记忆子测试在中老年人群中的应用]

[Modified memory sub-test of Syndrom Kurz test in middle-aged and elderly Chinese].

作者信息

Meng B, Zhai X J, Qin J L, Li X Y, Lu B, Zheng J W, Chen J P

机构信息

Department of Anesthesiology, HwaMei Hospital, University of Chinese Academy of Sciences, Ningbo 315010, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2019 Jul 9;99(26):2047-2051. doi: 10.3760/cma.j.issn.0376-2491.2019.26.009.

Abstract

To investigate the applicability of the modified memory sub-test of syndrom kurz test (SKT-M) in middle-aged and elderly Chinese. Between March 1, 2017, and October 31, 2017, at HwaMei Hospital, 132 patients receiving elective great saphenous vein high ligation and stripping operation and 96 their accompanying dependents, 55-75 years old, were randomly divided into the SKT-M group (121) and auditory verbal learning test -huashan version (AVLT-H) group (107) using random numeral method. The two groups underwent two corresponding neuropsychological tests respectively on the day before surgery and the second day after surgery. There was no significant difference in the baseline characteristics and all the neuropsychological indices at the two time points between patients and dependents (0.05). As a consequence, the data of the patients and dependents were integrated to compare the applicability of SKT-M and AVLT-H. The "low-score" ratio of SKT-M immediate recall (2.4%) was lower than that of AVLT-H test (12.1%) (χ(2)=8.138, 0.01). Besides, the "low-score" ratio of SKT-M delayed recall (5.7%) was also lower than that of AVLT-H test (20.5%) (χ(2)=11.167, 0.01). The influence factors of SKT-M were less than that of AVLT-H test. However, the learning effect of SKT-M immediate recall was more significant, for its first testing sore (23.1±5.4) was significantly higher than the second one (21.9±5.1) (-3.971, 0.001). The SKT-M has better applicability to 55-75 years old Chinese than AVLT-H test, but its learning effect should be noted.

摘要

探讨改良版综合征简短测验(SKT-M)记忆子测验在中国中老年人群中的适用性。2017年3月1日至2017年10月31日期间,在华美医院,132例行择期大隐静脉高位结扎剥脱术的患者及其96名年龄在55至75岁的家属,采用随机数字法随机分为SKT-M组(121例)和听觉词语学习测验-华山版(AVLT-H)组(107例)。两组分别在手术前一天和手术后第二天接受两项相应的神经心理学测验。患者和家属在两个时间点的基线特征及所有神经心理学指标差异均无统计学意义(P>0.05)。因此,将患者和家属的数据合并以比较SKT-M和AVLT-H的适用性。SKT-M即刻回忆的“低分”率(2.4%)低于AVLT-H测验(12.1%)(χ²=8.138,P<0.01)。此外,SKT-M延迟回忆的“低分”率(5.7%)也低于AVLT-H测验(20.5%)(χ²=11.167,P<0.01)。SKT-M的影响因素少于AVLT-H测验。然而,SKT-M即刻回忆的学习效应更显著,因为其首次测验得分(23.1±5.4)显著高于第二次测验得分(21.9±5.1)(t=-3.971,P<0.001)。与AVLT-H测验相比,SKT-M在中国55至75岁人群中具有更好的适用性,但应注意其学习效应。

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