探讨老年前庭功能障碍患者的空间认知表现

黄炎; 张雪颢; 刘玉和

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探讨老年前庭功能障碍患者的空间认知表现

老年听力障碍与认知 | 更新时间：2026-10-28

- 探讨老年前庭功能障碍患者的空间认知表现
- The Spatial Cognitive Performance of Elderly Patients with Vestibular Dysfunction
- 中国听力语言康复科学杂志 2022年20卷第4期页码：252-255
- 作者机构：
  
  1. 浙江中医药大学医学技术与信息工程学院,杭州,310000
  2. 首都医科大学附属北京友谊医院耳鼻咽喉头颈外科,北京,100050
- 作者简介：
- 基金信息：
- DOI：
  中图分类号： R764
- 纸质出版：2022
- 稿件说明：
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黄炎, 张雪颢, 刘玉和. 探讨老年前庭功能障碍患者的空间认知表现[J]. 中国听力语言康复科学杂志, 2022,20(4):252-255.

黄炎, 张雪颢, 刘玉和. The Spatial Cognitive Performance of Elderly Patients with Vestibular Dysfunction[J]. 2022, 20(4): 252-255.
黄炎, 张雪颢, 刘玉和. 探讨老年前庭功能障碍患者的空间认知表现[J]. 中国听力语言康复科学杂志, 2022,20(4):252-255. DOI：

黄炎, 张雪颢, 刘玉和. The Spatial Cognitive Performance of Elderly Patients with Vestibular Dysfunction[J]. 2022, 20(4): 252-255. DOI：

摘要

目的评估前庭功能障碍人群的空间认知能力与整体认知能力，探究两者之间的关系，分析年龄对前庭功能障碍患者空间认知能力和整体认知能力的影响。方法选取我院2021年9月～11月诊治的前庭功能障碍患者71例，分为3组

其中，青年组18～44岁17人，中年组45～59岁23人，老年组≥60岁31人。采用18分制画钟测验（clockdrawingtest

CDT）评估空间认知能力；蒙特利尔认知评估量表(montrealcognitiveassessment

MoCA)进行整体认知能力评估。对CDT18与MoCA得分进行相关性分析，比较不同年龄组间CDT18和MoCA得分。结果 (1)前庭功能障碍患者的CDT18得分13.92±3.73

MoCA得分26.01±2.80，两者呈极显著正相关（r=0.709

P<0.001）；(2)前庭功能障碍群体中CDT18得分的异常率与MoCA得分异常率无显著差异（P>0.05）；(3)不同年龄组间前庭功能障碍患者的CDT18、钟面、指针得分有显著差异（P<0.05），其余画钟测试子维度均无显著差异（P>0.05）；(4)不同年龄组之间前庭功能障碍患者的MoCA得分有显著差异（P<0.05）。结论前庭功能障碍患者的空间认知能力与整体认知能力相互联系。老年前庭功能障碍患者除本身的平衡障碍与感觉运动障碍等问题外，相对于年轻群体可能还有认知功能降低，包括整体认知能力和空间认知能力。

Abstract

Objective To evaluate the spatial cognitive ability and overall cognitive ability of patients with vestibular dysfunction

to explore the relationship between them

and to analyze the effect of age on spatial cognitive ability and overall cognitive ability of patients with vestibular dysfunction. Methods 71 patients with vestibular dysfunction diagnosed and treated in our hospital from September 2021 to November 2021 were selected and divided into three groups according to age division of the World Health Organization（WHO）. Among them

17 were aged 18-44 years old in the youth group

23were aged 45-59 years old in the middle age group

and 31 were aged ≥60 years old in the senior group. The 18-point Clock Drawing Test（CDT） was used to evaluate spatial cognitive ability. Montreal Cognitive Assessment Scale（MoCA） was used to assess the overall cognitive ability. The correlation between CDT18 score and MoCA score was analyzed

and CDT18and MoCA scores were compared among different age groups. Results The scores of CDT18 and MoCA in patients with vestibular dysfunction were 13.92±3.73 and 26.01±2.80

respectively

showing extremely significant positive correlation（r=0.709

P<0.001）. There was no significant difference between the abnormal rate of CDT18 score and MoCA score in vestibular dysfunction group（P>0.05）. There were significant differences in CDT18 score

clock face score and pointer score among patients with vestibular dysfunction among different age groups（P<0.05）

but no significant differences in other clock subdimensions（P>0.05）. MoCA scores of patients with vestibular dysfunction were significantly different among different age groups（P<0.05）. Conclusion The spatial and overall cognitive abilities of patients with vestibular dysfunction were correlated. Elderly patients with vestibular dysfunction may have reduced cognitive function

including global cognitive ability and spatial cognitive ability

compared with younger groups in addition to their own balance disorders and sensorimotor disorders.

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