Chen Lanfeng, Gao Baobin, Yan Chaoyang, Wang Zhengzheng, Bi Yiqing, Chen Hongfu, Jin Haojie
Department of Anesthesiology, Zhoushan Maternal and Child Health Hospital, Zhoushan, China.
Front Behav Neurosci. 2023 Mar 23;17:1042836. doi: 10.3389/fnbeh.2023.1042836. eCollection 2023.
To investigate the applicability of a modified verbal learning test redesigned from the memory subtest of the Syndrom Kurztest (SKT) in perioperative cognitive evaluation.
Patients receiving elective herniorrhaphy and their accompanying family members (set as normal controls), 55-75 years old, were randomly divided into two groups. The two groups received the self-made objects memory test derived from the SKT (SMOT) SMOT or a traditional auditory verbal learning test (AVLT). The cognitive evaluation was administered at the bedside on the day before surgery and the second day after surgery.
The SMOT test was administered to 121 subjects, while 107 patients received the AVLT test. After confirming that there was no significant difference in cognitive function between patients and their family members, the results of the SMOT and AVLT tests were compared. The results showed that the "low-score" ratio of the SMOT was significantly lower than that of the AVLT test ( < 0.05), and the influencing factors of the SMOT were less than those of the AVLT test. However, the learning effect of the SMOT was more significant ( < 0.05).
This study preliminarily confirms that the SMOT has better applicability to elderly Chinese individuals than AVLT in perioperative cognitive evaluation, but its learning effect should be noted.
探讨从综合征简短测试(SKT)记忆子测试重新设计的改良言语学习测试在围手术期认知评估中的适用性。
将年龄在55 - 75岁接受择期疝修补术的患者及其陪同家属(设为正常对照)随机分为两组。两组分别接受源自SKT的自制物体记忆测试(SMOT)或传统听觉言语学习测试(AVLT)。在手术前一天和手术后第二天在床边进行认知评估。
121名受试者接受了SMOT测试,107名患者接受了AVLT测试。在确认患者与其家属的认知功能无显著差异后,比较了SMOT和AVLT测试的结果。结果显示,SMOT的“低分”率显著低于AVLT测试(<0.05),且SMOT的影响因素少于AVLT测试。然而,SMOT的学习效果更显著(<0.05)。
本研究初步证实,在围手术期认知评估中,SMOT对中国老年人的适用性优于AVLT,但应注意其学习效果。