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简易精神状态检查和计算机断层扫描

The Mini-Mental State Test and computerized tomography.

作者信息

Tsai L, Tsuang M T

出版信息

Am J Psychiatry. 1979 Apr;136(4A):436-8.

PMID:426111
Abstract

In order to evaluate the clinical usefulness of the Mini-Mental State (MMS) test, the authors had 63 patients complete the test after undergoing computerized tomographic (CT) scans of the brain. Patients with positive CT scans scored significantly lower than those with negative CT scans. Further analysis showed that cerebral atrophy was more closely related to cognitive impairment than focal cerebral lesions only. The authors conclude that the MMS can discriminate organicity in some instances but that further refinement and modification of its subtests are needed for maximum usefulness.

摘要

为评估简易精神状态检查(MMS)的临床实用性,作者让63例患者在接受脑部计算机断层扫描(CT)后完成该检查。CT扫描结果为阳性的患者得分显著低于扫描结果为阴性的患者。进一步分析表明,脑萎缩与认知障碍的关系比单纯局灶性脑病变更为密切。作者得出结论,MMS在某些情况下可以区分器质性病变,但为了达到最大效用,需要对其分测验进行进一步的完善和修改。

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