泰安市老年人痴呆患病情况调查  

Epidemiological survey of senile dementia among elderly people in communities of Tai'an

作　　者：王红艳[1] 张迎泉 陈宪锐[3] 徐信杰[1] 刘志香[1] 

机构地区：[1]泰山医学院附属医院中医科,山东泰安271000 [2]山东省泰安市中医院 [3]泰山医学院信息科学院

出　　处：《中国公共卫生》2009年第8期899-900,共2页Chinese Journal of Public Health

摘　　要：目的了解山东省泰安市老年人群痴呆的流行现状,为建立该病的预防与控制及制定老年健康服务措施提供参考依据。方法第1阶段采用整群抽样调查方法,以简易智能状态量表(MMSE)和问卷调查为测查工具,第2阶段临床诊断,由神经科医师对筛查阳性者进行临床检查,根据美国精神病学会的精神障碍诊断和统计手册第四版(DSM-IV)、美国神经病学、语言障碍和卒中-老年性痴呆和相关疾病学会(NINCDS-ADRDA)、美国神经病学、语言障碍和卒中-国际神经科学学会(NINCDS-AIREN)标准作出阿尔茨海默痴呆(AD)和血管性痴呆(VaD)的临床诊断。结果对泰安市区5个居委会618名60岁～老年人进行调查,查出各类痴呆者52例,患病率为8.41%,其中阿尔茨海默病(AD)42例,血管性痴呆(VD)10例,二者患病率分别为6.79%和1.62%。结论泰安市区老年期痴呆较我国以往报道的患病率为高。AD为主要类别,高龄、文化程度低和女性是痴呆患病的危险因素。Objective To explore the prevalence of senile dementia among elderly people in communities of Tai＇an in order to provide reference for prevention and control of the disease. Methods The elderly aged 60 or over from five communities were selected and surveyed with mini-mental state examination（MMSE）. The suspected patients were diagnosed by neurologisits using the DSM-IV and NNCDS-ADRDA. Results The total prevalence ot dementia was 8.41% （52 patients）. Among them,Alzhelmer＇s disease （AD） was 6. 79% （42 patients） and cerebrovascular disease was 1.62% （ 10 patients）. Conclusion The prevalence of dcmintia in community is similar to that of other reports. AD is one of the main causes of dementia. Senility,lower deucational level and female olders arc the risk factors of dementia.

关 键 词：痴呆 老年人 流行病学 

分 类 号：R181.37[医药卫生—流行病学] R749.16[医药卫生—公共卫生与预防医学]