HDS-R在广东沿海农村老年期痴呆筛查中的应用  

Application of HDS-R in Screening Senile Dementia in Coastal Rural Areas of Guangdong Province

作　　者：沐楠[1] 陆泳[1] 冯容妹[1] 方少心 周伟成[1] 江美娟 

机构地区：[1]广州市精神病医院,510370

出　　处：《中国心理卫生杂志》2000年第3期164-166,共3页Chinese Mental Health Journal

摘　　要：探讨HDS R在老年期痴呆筛查中的应用及其影响因素。方法 :本研究用改良长谷川痴呆量表 (HDS R)对广东沿海三个县中 10 18名世居农村 ,年龄≥ 65岁的老年人进行痴呆筛查。结果 :HDS R分为 0— 32 5分 ,平均 2 3 50± 5 80分 ,经逐步回归分析表明年龄、教育程度、痴呆诊断、听力、性别是影响HDS R评分的重要因素 ;HDS R界限分为 17分时 ,敏感度 95 1% ,特异度为 97 7%。结论 :年龄、教育程度、痴呆诊断、听力、性别是影响HDS R评分的重要因素 ,HDS R因其特异度和敏感度高且易于实施、项目简便 。Objective: To explore the application and related influential factors of the Revised Hasegawa's Dementia Scale (HDS-R) in screening senile dementia. Methods: A total of 1018 subjects who were older than 65-years old and permanently lived in the rural areas of three coastal counties of Guangdong province were screened for dementia using the HDS-R. Results: The scores of HDS-R ranged between 0 and 32.5 and the mean score was 23.5±5.80. The results of step-by-step regression analysis showed that age, gender, educational level, diagnosis of dementia, and hearing capacity were important influential factors of HDS-R. When the threshold score was 17, the sensitivity and the specificity were 95.1% and 97.7% respectively. Conclusions: HDS-R is easily operated and suitable for Chinese practice because of its higher sensitivity and specificity.

关 键 词：HDS-R 老年期痴呆 农村 老年人 筛查 

分 类 号：R749.16[医药卫生—神经病学与精神病学] R395.6[医药卫生—临床医学]