河北省3632名城乡社区老年人慢性病及老年痴呆的现况调查  

Epidemiological features of chronic and Alzheimer＇ s diseases in the community-based elderly living in cities and couties in Hebei province

作　　者：康美玉[1] 高玉梅[1] 霍红旗[2] 陈育民[1] 王健[1] 李梅杰[1] 杜涛[3] 

机构地区：[1]河北工程大学医学院,邯郸056029 [2]邯郸市中心医院 [3]邯郸市第二医院

出　　处：《中华流行病学杂志》2011年第7期672-675,共4页Chinese Journal of Epidemiology

基　　金：河北省科技攻关项目（04276101D）

摘　　要：目的了解河北省内城乡社区老年人群老年痴呆的流行现况。方法采用多级分层整群抽样调查，利用简易智能状态检查表（MMSE）、日常生活能力量表（ADL）及相应的老年痴呆诊断标准，数据用SPSS13．0软件进行统计学分析。结果河北省城乡≥60岁老年人慢性病的总患病率为64．84％（2355／3632），男女性患病率和总患病率均随年龄增高而升高。老年痴呆总患病率为7．24％（263／3632），其中阿尔茨海默病（AD）为4，87％（177／3632），位于高血压（32．35％）、糖尿病（11．37％）、慢性阻塞性肺疾病（9．25％）、冠心病（8．84％）和脑卒中（7．16％）之后的第六位。AD的患病率有随年龄增加而升高及随文化程度增高而降低的趋势。结论河北省社区老年人包括AD在内的慢性病总患病率较高，AD已成为老年人主要慢性病，患病率随年龄增高而升高。Objective To understand the epidemiological features of Alzheimer＇ s disease （AD） in the community-based elderly living in cities and counties in Hebei province. Methods Under the stratified random sampling method, Mini Mental State Examination （MMSE） was used to evaluate senile dementia and Activity of Daily Living Scale （ADL） and to evaluate the daily lives of the elderly. Related dementia standard on the diagnose of AD and its subtypes was used. Statistically, data was analyzed through SPSS 13.0 software. Results The overall prevalence was 64.84% （2355/ 3632） on chronic diseases in those elderly who were over 60 years of age while AD appeared to be high and increased with age. The prevalence rate of dementia was 7.24% （263/3632）, in which AD accounted for 4.87% （177/3632）. Rates for other chronic diseases were as follows： hypertension （32.35%） , diabetes （11.37%） , chronic obstructive pulmonary disease （9.25%） , coronary heart disease （8.84%） and stroke （7.16% ）. The prevalence of AD increased with age and was related to the low degree of education having. Conclusion Elderly living in the communities of Hebei province showed high prevalent rates of chronic diseases including AD, which had become the major kind of diseases related to old age.

关 键 词：老年痴呆 慢性病 患病率 

分 类 号：R749.16[医药卫生—神经病学与精神病学]