帕金森病合并痴呆患者与血管性痴呆患者认知功能及情绪变化的比较

摘要

Objective:To analyze and compare differences of cognitive function and emotion changes in patients with parkin-sonism dementia and patients with vascular dementia. Methods:The data of 33 patients with parkinsonism dementia and 31 patients with vascular dementia were collected for this study, and then MoCA, SAS, and SDS scores were observed and analyzed. Results:The spatial executive ability and orientation ability in parkinsonism dementia group were significantly lower than those of vascular dementia group;however, the naming ability, language ability and attention ability in parkinsonism dementia group were significantly higher than those of vascular dementia group (P<0. 05). The abstract power between the two groups had no statistical difference (P>0. 05). The SAS and SDS scores in parkinsonism dementia group were significantly lower than those of vascular dementia group (P<0. 05). Con-clusions:The cognitive function and emotion changes are different in parkinsonism dementia and vascular dementia, which may provide help for the differential diagnosis of parkinsonism dementia and vascular dementia.%目的：：分析比较帕金森病合并痴呆患者与血管性痴呆患者的认知功能障碍及情绪变化。方法：收集帕金森合并痴呆患者资料33例,以及血管性痴呆患者31例；观察分析帕金森合并痴呆组患者与血管性痴呆组患者MoCA评分,SDS及SAS评分。结果：帕金森合并痴呆患者空间执行能力及定向能力均显著低于血管性痴呆组,而命名能力,语言能力及注意力均显著高于血管性痴呆组(P<0.05),抽象能力两组患者之间差异无统计学意义(P>0.05)；帕金森合并痴呆组患者的SAS及SDS评分均显著低于血管性痴呆患者(P<0.05)。结论：帕金森痴呆患者认知能力及情绪状况不同于血管性痴呆,此结果可以进一步帮助两种疾病的鉴别诊断。