通过新的综合指数捕捉主观认知衰退,在低教育程度的帕金森病患者中捕捉主观认知衰退
Juan Huang1, Hui Wang1, Lin Chen1
1Department of Neurology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, China.
Frontiers in neurology
|September 3, 2024
概括
一个新的指数有效地识别了低教育帕金森病 (PD) 患者的主观认知衰退 (SCD). 这种工具有助于临床医生在PD-SCD的早期检测和管理.
科学领域:
- 神经学 神经学
- 认知科学 认知科学
背景情况:
- 主观认知衰退 (SCD) 是自我报告的认知衰退,具有正常的全球认知.
- 在受过较低教育的帕金森病 (PD) 患者中识别SCD具有独特的挑战.
研究的目的:
- 建立在低教育程度的PD患者中捕获SCD的指标.
- 在这个人群中调查与PD-SCD相关的因素.
主要方法:
- 招募了64名受教育程度低的PD患者 (教育年限≤12年).
- 使用统一帕金森病评分表第I部分 (UPDRS-I) 评分确定SCD的得分≥1.1.
- 采用斯皮尔曼分析,物流回归和ROC曲线分析用于新组合指数.
主要成果:
- 在PD患者中SCD的患病率为43.75%.
- 患有PD-SCD的患者表现出较高的非运动症状和较差的认知表现,特别是执行功能,注意力和语言 (MoCA).
- 综合指数 (MoCA执行,MoCA注意,MoCA语言) 在区分PD-SCD方面显示出高准确度 (AUC=0.876).
结论:
- 低学历的PD-SCD患者可能具有与PD相关的潜在病理.
- 早期发现PD-SCD对于患者的管理至关重要.
- 新的综合指数有助于在受教育程度低的人群中早期检测PD-SCD.
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