伴或不伴有脑血管疾病的早、中期痴呆患者日常生活能力比较  

Comparison of activities of daily life in mild-to-moderate dementia patients with or without cerebrovascular disease

作　　者：韩学青[1] 冯锋[1] 陈建[1] 尚兰[1] 李娟[1] 

机构地区：[1]北京回龙观医院老年科,北京市100096

出　　处：《中国临床康复》2005年第13期18-19,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:使用日常生活活动能力量表,对早、中期伴或不伴有脑血管病的痴呆患者进行日常生活活动能力差异比较。方法:调查时间为2002-06/2003-01,在北京市随机抽取城市和农村的中老年人,使用简明智能量表进行测评,简明智能量表评分未受教育的>17分,受教育年限>6年的>24分者为健康组919例,简明智能量表评分低于上述分值者为痴呆组。痴呆组根据是否伴有脑血管病分为不伴有脑血管病的痴呆组(n=124,其中早期84例,中期40例)和伴有脑血管病的痴呆组(n=64,其中早期34例,中期30例)。应用日常生活活动量表(由躯体生活自理量表和工具性日常生活量表两部分组成)对3组进行日常生活活动能力差异比较。结果:健康组日常生活活动20项总分为21.81±5.61,其他各组评分均高于健康组。不伴有脑血管病的早期痴呆组的日常生活活动总分(23.86±5.10)、工具性日常生活量表总分(13.33±4.46)、躯体生活自理量表总分(10.03±1.06)均显著低于伴有脑血管病的早期痴呆组(30.35±10.22,17.91±8.26,12.35±2.95),差异有显著性意义(t=-3.53,-3.32,-3.06,P<0.01)。不伴有脑血管病的中期痴呆组日常生活活动总分、工具性日常生活量表总分和躯体生活自理量表总分分别为37.35±13.35,22.48±10.15,15.00±5.14,伴有脑血管病的中期痴呆组以上3项评?AIM: To compare the activities of daily life(ADL) of mild to moderate dementia patients with or without cerebrovascular disease by using the ADL scale. METHODS: The elderly selected randomly from the urban and rural area in Beijing from June 2002 to January 2003 were detected with mini mental state examination(MMSE).Patients received no education and MMSE scores >17, and patients received education >6 years and MMSE scores >24 were selected as healthy group (919 cases). Patients with MMSE scores lower than those mentioned above were selected as dementia group. The dementia group was divided into two groups: the dementia without cerebrovascular disease(n=124), including mild(n=84) and moderate(n=40), and the dementia with cerebrovascular disease(n=64), including mild(n=34) and moderate(n=30).The ADL scores of the three groups were compared with ADL scale(conformation of physical self maintenance scale and instrumental activities of daily living scale). RESULTS:The total score of ADL in healthy group was 21.81±5.61, and was lower than those in the other groups. The total score of ADL(23.86±5.10),IADL (13.33±4.46) and PSMS (10.03±1.06) in mild dementia without cerebrovascular disease group were significantly lower than those in mild dementia with cerebrovascular disease group(30.35±10.22,17.91±8.26, 12.35±2.95), and there was significant difference(t=-3.53,-3.32,-3.06, P< 0.01).The total score of ADL,IADL and PSMS in moderate dementia without cerebrovascular disease group were 37.35±13.35, 22.48±10.15 and 15.00±5.14, respectively,and 50.77±15.90, 28.57 ±10.53 and 22.47±8.90 in moderate dementia with cerebrovascular disease group, which were significantly higher than those in mild dementia group. CONCLUSION:ADL in dementia patients with or without cerebrovascular disease declines, and aggravates along with the severity of disease.The ADL in dementia without cerebrovascular disease is superior to that in dementia with cerebrovascular disease.The declined ADL in mild dementia patients manifests in i

关 键 词：痴呆 日常生活活动 脑血管障碍 

分 类 号：R749.1[医药卫生—神经病学与精神病学]