纯视觉输入非言语性认知功能评定量表在中老年重度听力障碍者中的应用

The Application of the Visual Version of the Non-Speech-Based Cognitive Assessment in the People with Severe Hearing Impairment

王雨新;吕子岩;刘孟婷;陈露;李敬;项洁;

1:徐州医科大学第二临床医学院

2:徐州医科大学附属医院康复医学科

摘要
目的 应用纯视觉输入非言语性认知功能评定量表评估45岁及以上重度听力障碍者的认知功能,探讨重度听力障碍中老年人群的认知功能特点及其影响因素。方法 191例受试者(年龄45~89岁,平均63.42±9.61岁)分为重度听力障碍组(听障组)91例(平均64.58±8.51岁)与正常听力组(健听组)100例(平均62.37±10.44岁);两组分别进行纯视觉输入非言语性认知功能评定量表的评估,包含记忆力、注意力、逻辑推理能力、视空间能力以及执行能力5个认知领域,采用多元线性回归分析法比较两组量表总分及记忆力、注意力、逻辑推理能力、视空间能力以及执行能力分量表的得分,分析量表评估完成时间的影响因素。结果 健听组及听障组的量表总分分别为69.54±8.71、62.21±9.63分,差异有统计学意义(P<0.05);记忆力分量表得分分别为16.83±2.79、13.78±4.55分,差异有统计学意义(P<0.05);注意力分量表得分分别为26.30±4.16、24.12±5.03分,差异有统计学意义(P<0.05);逻辑推理能力分量表得分分别为7.28±0.98、6.25±1.30分,差异有统计学意义(P<0.05);视空间能力分量表得分分别为10.83±1.91、9.75±1.78分,差异有统计学意义(P<0.05);执行能力分量表得分分别为8.30±1.94、8.27±1.84分,差异无统计学意义(P=0.87)。听障组的记忆力得分、注意力得分、量表总分以及记忆力分量表的完成时间与年龄相关(均为P<0.05),受试者是否患有高血压影响逻辑推理分量表及视空间能力分量表的完成时间(P<0.05)。结论 重度听力障碍中老年者的总体认知功能水平明显低于正常听力者,纯视觉输入非言语性认知功能评定量表可能是一种适用于重度听力障碍中老年人群认知功能筛查的工具。
关键词
认知功能;听力障碍;中老年;视觉
基金项目(Foundation):
国家重点研发计划课题(2020YFC2006604);; 徐州市科技项目(KC17177)
作者
王雨新;吕子岩;刘孟婷;陈露;李敬;项洁;
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