Cognitive Impairment Professional Outpatients Mild Cognitive Dysfunction Syndrome Overall Situation Analysis And Research

Objective:To analysis the cognitive level of patients from specialized cognitive impairment clinic and cognitive related major factors, screening out with mild cognitive impairment, and explore the characteristics and regularities of TCM syndrome of MCI, to establish and improve the intervention model for cognitive impairment-specialized Cognitive impairment clinic.Methods:This research object is patients from specialized Cognitive impairment clinic、a unified training using mini-mental state scale (MMSE), Montreal cognitive assessment scale (MoCA) of such evaluation tools, face-to-face client holds the questionnaire investigation, evaluation of the conscription examination with mild cognitive status of patients with cognitive dysfunction confirmed. observe syndromes characteristics, formulate TCM symptoms of symptoms was observed table, combined with clinic patients common symptom and expert advice, summarizes the most often witness type. In order to guarantee the quality in design, respectively, investigation, input stage taken quality monitoring measures, the maximum guarantee the accuracy of the results.Results:1This research object is349patients average age for between67.65±10.08; an average score for MMSE26.97±4.563,an average score for MoCA23.01±5.975,an average score for HAMD9.212±5.9996,cognitive impairment188(53.87%)、MCI136(38.97%)、the other52人(14.90%); The most of people surveyed for married、cultural degree most middle school45.27%, illiteracy2.01%and elementary schoo110.03%;Personality traits, which accounts for the majority of peace for60.86%psychotic, followed by depression and irritability accounted for12.89%and11.18%; The existing diseases, elderly、accounting for hyper tension incidence (228), second highest for cerebrovascular diseases (161), the rest of the press from high to low incidence order hyperlipidemia (103), diabetes (93), coronary heart disease(77). On the analysis of mild cognitive impairment in risk factors, based oncomprehensiveanalysis of selected for gender, age, education level, Personality traits and its movement by factors such as the spearman and Mann-Whitney test, and found, age、education, sports and vascular source factors are P<0.05, value with statistical significance.2This research will conclude TCM symptoms of MCI to liver-qi stagnation, kidneyessence deficiency, syndrome of phlegm turbidity, heart-spleen deficiency, heart-kidney imbalance, blood-stasis obstruction syndrome; the TCM symptoms, which accounts for the majority of liver-qi Stagnation for38.50%, followed by kidneyessence deficiency, syndrome of phlegm turbidity, heart-spleen deficiency, heart-kidney imbalance, and blood-stasis obstruction syndrome, accounted for28.34%,11.23%,9.63%,7.49%and4.81%conclusion:Through the studies have found that people with cognitive impairment188(53.87%)、MCI136(38.97%)、the other52人(14.90%);the main factors of MCI cerebrovascular Diseases, hypertension; the scores of MMSE and MoCA for female than male, results There is significantly negative correlation between age and the scores of MMSE and MoCA, positive significance correlation between education and the scores of MMSE and MoCA, there is not significant correlation between pe-rsonality traits and the scores of MMSE and MoCA; the main TCM symptoms of MCI is liver-qi Stagnation, kidneyessence deficiency, syndrome of phlegm turbidity,heart-spleen deficiency, heart-kidney imbalance, blood-stasis obstruction syndrome. But the study only for a hospital may not have wide representativenes, to establish and improve the intervention model for cognitive impairment-specialized cognitive impairment clinic is worth further study.