唐山市社区老年轻度认知障碍患者的调查分析  

The Elderly Patients with Mild Cognitive Impairment in the Community of Tangshan

作　　者：佟久芬[1] 郭淑英[1] 陶秀娟[1] 郭靖娴 田悦[1] 夏冰杰[3] 马文有[1] 

机构地区：[1]河北联合大学附属开滦精神卫生中心(唐山),063004 [2]辽宁省盘锦市辽河油田第二职工医院 [3]河北省唐山市丰润区第二人民医院妇幼保健院

出　　处：《中国健康心理学杂志》2013年第11期1642-1644,共3页China Journal of Health Psychology

基　　金：唐山市科技局课题;编号:12130226b

摘　　要：目的了解唐山市老年轻度认知障碍(MCI)患者发病率并分析其影响因素。方法采用简短认知筛查量表、日常生活能力量表(ADL)等对2532例社区老人进行MCI的筛查和医学诊断,筛选确诊了200例患者,对其状况进行调查。并进一步探讨其影响因素。结果老年MCI患者的发病率为12.7%,男性患病率为5.67%,女性患病率10.75%,男女患病率有明显性别差异(χ2=8.3,P<0.01);各年龄段患病率有明显差异(χ2=29.53,P<0.01);不同文明水平患病率有明显差异(χ2=13.52,P<0.01);分居者MCI发病率为22.2%;与配偶住在一起发病率为5.65%;未与配偶住在一起者发病率为23.5%,三者之间有明显差异(χ2=9.56,P<0.01);饮酒与不饮酒及不同饮酒量之间的发病率无明显差异(χ2=5.59,P>0.05);常参加体育锻炼者发病率为6.04%,偶尔或无规律体育锻炼者发病率为9.34%,没有体育锻炼者发病率为12.4%,3组之间有明显差异(χ2=10.77,P<0.01);睡眠时间的影响显然导致MCI的发病率高(χ2=9.36,P<0.01)。结论认知功能、性别、年龄、文化程度、日常活动能力和婚姻状况是MCI患病的重要影响因素。Objective To study the morbidity of senile mild cognitive impairment （MCI） in Tangshan city, and analyze its influencing factors. Methods Totally 2532 old people from the community were under MCI screening by brief cognitive screening scale and activity of daily living（ADL） skills scale and medical diagnosis. Two hundred of them were identified as MCI patients, and the situation of them were investigated and their influencing factors were furtherly discussesed. Results The incidence of elderly patients with MCI was 12.7 %. men 5.67% and women 10.75%, and there was significant difference （X2 = 8.3, P 〈 0. 01 ） ;Prevalence of all ages had obvious difference （X2 = 29. 53, P 〈 0.01 ） ;Prevalence had obvious difference among different civilization level （X2 = 13.52, P 〈 0.01 ） ;Separate incidence of MCI was 22.2% ;Incidence of live with a spouse was 5.56%, not live with your spouse incidence was 23.5% ,there was significant differences（x2 = 9.56, P 〈 0.01 ） ;There was no significant difference in the incidence rate among different alcohol drinking （X2 = 5.59, P 〉 0.05 ） The incidence rate was 6.04% in old people who often took part in physical exercisers ,9.34% in those who were the occasional or irregular physical exercisers, 12.4% in those who had no physical exercisers incidence, they had significant difference （X2 = 10. 77 ,P 〈 0.01 ） ;Sleep time obviously lead to high incidence of MCI （X2 = 9. 36, P 〈 0. 01 ）. Conclusion Cognitive function, gender, age, educational level, ADL and marital status are important influencing factors of MCI.

关 键 词：老年轻度认知障碍 发病率 社区 精神病学 

分 类 号：R749.16[医药卫生—神经病学与精神病学]