临床表现 临床表现
Nicole Grant1, Natalie A Phillips2
1Concordia University, Montreal, QC, Canada.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 24, 2025
概括
听力损失 (HL) 可能会使用简单的查测试高估轻度认知障碍 (MCI) 的女性的认知障碍. 综合性评估对于准确的认知评估至关重要 高龄成年人与HL.
科学领域:
- 神经科学是一个神经科学.
- 听力学 听力学是指听力学.
- 老年学是一门学科.
背景情况:
- 与年龄相关的听力损失 (HL) 与认知能力下降和痴呆症风险有关.
- 性别对HL与认知之间的关联的影响仍未得到充分探索.
研究的目的:
- 调查轻度认知障碍 (MCI) 的男性和女性听力测量和认知表现之间的关系.
- 为了确定性别是否能缓和HL与认知功能之间的关联.
主要方法:
- 分析了来自COMPASS-ND研究的260名患有MCI的老年人.
- 参与者根据听力状态 (正常听力与HL) 和性别进行分类.
- 通过查 (MoCA) 和综合的神经心理测试 (RAVLT,BVMT-R,面部名称协会) 评估认知表现. 使用加拿大数字三重测试来测量语音噪音感知.
主要成果:
- 与正常听力女性相比,患有HL的女性更有可能在MoCA查中失败 (p=0.02).
- 这种选偏差没有在男性中观察到,也没有在取消听力依赖的MoCA项目时观察到.
- 在男性中,语音噪音感知与MoCA,RAVLT和BVMT-R性能相关,但不是女性.
结论:
- 性别影响了HL与认知表现之间的关联,特别是在查测试中.
- 简单的认知查可能会高估患有HL的女性MCI.
- 综合的神经心理评估对于准确的认知评估在老年人,特别是那些有听力损失至关重要.
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