太仓市农村老年人轻度认知功能障碍流行病学调查与分析  

Epidemiological investigation for mild cognitive function obstacle of elders in rural area of Taicang city

作　　者：江海[1,2] 张建安[1,2] 王粉春 周振清[2] 王宏[2] 徐勇[1] 

机构地区：[1]苏州大学公共卫生学院,江苏省苏州215000 [2]江苏省太仓市疾病预防控制中心

出　　处：《中国慢性病预防与控制》2013年第2期178-181,共4页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的了解太仓市农村老年人轻度认知功能障碍(MCI)流行状况,探讨老年MCI的危险因素,为防治老年MCI提供科学依据。方法采用整群随机抽样的方法,于2011年9-11月抽取太仓市农村2063名60周岁以上老年人进行一般健康状况的问卷调查和蒙特利尔认知估量表(MoCA Version量表)测试。结果得到有效调查问卷1954份,MoCA Version量表平均得分为(16.16±6.53)分。不同性别、年龄、居住情况、收入情况及文化程度的老年人群MCI患病率差异有统计学意义(P<0.01)。高龄、女性、低收入、低文化程度均与MCI的高发有关。吸烟、饮酒的老年人群MCI患病率低于从不吸烟或以前吸烟和从不饮酒或以前饮酒的老年人群,差异有统计学意义(P<0.01)。高血压、糖尿病患者与非高血压、非糖尿病人群MCI患病率差异无统计学意义(P>0.05)。多因素非条件logistic回归分析结果显示,高龄(OR=2.881,95%CI:2.234～3.714)、低文化程度(OR=4.707,95%CI:3.703～5.983)、非在婚人群(OR=1.147,95%CI:1.049～1.253)患MCI的危险性上升,收入高的人群患MCI的危险性下降(OR=0.673,95%CI:0.571～0.793)。结论中老年人MoCA量表平均得分为较低。应对高龄、低文化水平、非在婚的老人尽早开展MCI干预工作,以预防和延缓老年痴呆的发生。Objective To investigate the cognitive function of rural elders in Taicang City, to explore the risk factors for the mild cognitive obstacle （MCI） and to provide the basis of preventing MCI. Methods The subjects （2063 elders, age 〉 60 years old ） were from rural area in Taicang city, according to random sampling. The inquiries and MoCA Version Scale Test were used in present investigation. Results In present study 1 954 valid inquiries were corrected. The mean score of MoCA Version Scale Test was 16.16±6.53. There were significant differences of MCI mobility among different elders according to sex, age, living condition, income and education level （P〈0.01）. High MCI mobility may be associated with advanced age, female, low income and low education level. However, the MCI mobility in smoking and drinking elders was significantly lower than that in non-smoking and non-drinking elders （P〈0.01）. There was no significant difference of MCI mobility between elders with hypertension or diabetes and elders without hypertension or diabetes. The advanced age（ OR=2.881, 95%CI： 2.234-3.714 ）, low education level（ 0R=4.707, 95%CI： 3.703-5.983 ） and a single life（ OR=l .147, 95%CI： 1.049-1.253 ） were risk factors for MCI. The risk of MCI in elders with high income was low （OR=0.673, 95%CI： 0.571-0.793）. Conclusion The mean score of MoCA Version Scale Test is low, the intervention measures should be taken in elders with advanced age, low education level and a single life for preventing the occurrence of senile dementia.

关 键 词：老年人 轻度认知功能障碍 流行病学调查 危险因素 

分 类 号：R181.3[医药卫生—流行病学]