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目的探讨中老年代谢综合征患者认知功能障碍的特点。方法入选2008年8月-2008年12月在山西省人民医院心内科住院的86例代谢综合征(MS)患者及90名非MS健康者。采用蒙特利尔认知评估量表(MoCA)进行认知评估。结果 MS组的MoCA总分低于非MS组(P<0.05)。其中MS组的注意、语言及延迟回忆得分低于非MS组,差异有统计学意义(P<0.05)。两组注意方面的差异主要体现在连续减7方面(P<0.05)。结论代谢综合征患者存在认知功能的降低,主要体现注意、语言及延迟回忆方面,其中注意方面的差异主要为连续减7能力的降低。
Objective To investigate the characteristics of cognitive dysfunction in middle-aged and elderly patients with metabolic syndrome. Methods Eighty-six patients with metabolic syndrome (MS) and 90 non-MS patients hospitalized in Department of Cardiology, Shanxi Provincial People’s Hospital from August 2008 to December 2008 were enrolled. Cognitive assessment was performed using the Montreal Cognitive Assessment Scale (MoCA). Results The score of MoCA in MS group was lower than that in non-MS group (P <0.05). The scores of attention, language and delayed recall in MS group were lower than those in non-MS group, the difference was statistically significant (P <0.05). Differences in attention between the two groups mainly reflected in the continuous reduction of 7 (P <0.05). Conclusions There is a decrease in cognitive function in patients with metabolic syndrome, mainly in attention, language and delayed recall, of which the difference in attention is mainly the decrease of ability of continuous subtraction.