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目的：调查分析社区老人同一组神经心理测验５年随访结果。方法：应用Ｆｕｌｄ物品记忆测验（ＦＯＭ）、言语流畅性测验（ＲＶＲ）、积木测验（ＢＤ）和数字广度测验（ＤＳ）评定１２１名社区老人５年前后的认知功能变化。结果：ＮＰＴ变化幅度是：正常老人组：ＢＤ＞ＲＶＲ＞ＤＳ＝ＲＥＣ１３。痴呆老人组：ＢＤ＞ＲＶＲ＝ＲＥＣ１３＞ＤＳ。正常衰老与病理衰老在物品短时记忆与语义长时记忆的减退速率上有显著的差异。结论：正常衰老与病理衰老具有不同的神经心理学变化特点，这些特点有助于痴呆的诊断与预测。
Objective: To investigate and analyze the result of 5-year follow-up of neuropsychological test of the same group of elderly in the community. Methods: The changes of cognitive function in 121 community elderly people five years ago were evaluated by Fuld object memory test (FOM), verbal fluency test (RVR), building block test (BD) and digital breadth test (DS). Results: The range of NPT was: normal elderly group: BD> RVR> DS = REC13. Dementia elderly group: BD> RVR = REC13> DS. There was a significant difference between normal aging and pathological aging in the short-term memory and semantic long-term memory decline rate. Conclusion: Normal aging and pathological aging have different neuropsychological changes, which are helpful for the diagnosis and prediction of dementia.