MMSE评分量表.doc

MMSE简易智能精神状态检查量表 科室：_________ 床号： 姓名：________性别： 年龄： 住院号： 文化程度：__________评定时间：__________ 总分： "项目 "记录 "评分 " "I定向力 "星期几 " "0 1 " "（10分） " " " " " "几号 " "0 1 " " "几月 " "0 1 " " "什么季节 " "0 1 " " "哪一年 " "0 1 " " "省市 " "0 1 " " "区县 " "0 1 " " "街道或乡 " "0 1 " " "什么地方 " "0 1 " " "第几层楼 " "0 1 " "II记忆力 "皮球 " "0 1 " "（3分） " " " " " "国旗 " "0 1 " " "树木 " "0 1 " "III注意力和 "100-7 " "0 1 " "计算力（5分 " " " " "） " " " " " "-7 " "0 1 " " "-7 " "0 1 " " "-7 " "0 1 " " "-7 " "0 1 " "IV回忆能力 "皮球 " "0 1 " "（3分） " " " " " "