南宁社区老年人痴呆患病率调查  

Prevalence of dementia among elderly people in Santang community,Nanning city

作　　者：李海洪[1] 胡才友[1] 韦冬梅 付棉[1] 吕泽平[1] 邓名英 吕渊[1] 张为[1] 冯以真 杨秀塔[1] 张健[1] 杨泽[3] 

机构地区：[1]广西壮族自治区江滨医院,530021 [2]广西南宁市三塘卫生院,530023 [3]卫生部北京医院卫生部老年医学研究所,100730

出　　处：《中国老年保健医学》2015年第1期29-31,共3页Chinese Journal of Geriatric Care

基　　金：国家自然科学基金(81460203;81061120527;81370445;81472408);卫生部公益性研究基金(201302008);国家科技部十二五支撑计划(2012BAI10B01);广西自然基金及科技攻关项目(2014GXNSFDA118028;桂科攻1355005-6-2);广西卫生厅资助项目(重200217;S201402-01);南宁市科技开发计划课题(NO:2012020)

摘　　要：目的调查南宁市三塘社区老年人的痴呆患病现状。方法采用横断面研究方法,对在南宁市三塘社区年龄≥60岁以上常住居民的痴呆患病率进行研究。调查采用筛查和确诊两阶段法,以简易智能状态检查量表(MMSE)筛查认知功能障碍,并进一步由神经科医师通过相关神经科检查及有关量表测试,参照美国精神障碍诊断与统计手册第4版修订本的标准诊断痴呆。结果 1确认为认知功能障碍者156例,诊断痴呆者59例,其中阿尔茨海默病(AD)38例(64.4%),血管性痴呆(VD)18例(30.5%),混合性痴呆3例(5.1%)。60岁及以上老年人痴呆及AD、VD的患病率分别为6.6%,4.3%,2.0%。2各不同年龄组之间痴呆、AD、VD的患病率有显著差异;女性组的痴呆及AD患病率高于男性组;文盲组痴呆、AD、VD患病率明显高于小学文化组,其中初中及以上文化组未出现痴呆。结论南宁市三塘社区老年人痴呆和AD患病率较国内其他地区高,AD是南宁三塘地区老人中主要的痴呆类型,VD次之。文盲老人及女性的痴呆患病率高,老年期痴呆患病率随年龄的增长而升高。Objectives To investigate the prevalence of dementia among elderly people aged 60 yeas and over in Santang com- munity, Nanning. Methods A cross-sectional study of prevalence of dementia was conducted in Santang community,located in the snorth suburb of Nanning. Residents aged 60 years and over were eligible to participate in the study. The mini-mental status examina- tion（MMSE） was used to screen subjects with cognitive impairment. The diagnosis of dementia and its subtypes was validated by neurologists according to the recently recommended diagnostic criteria. Results Cognitive impairment was recognized in 156 sub- jects and dementia was diagnosed in 59 subjects. 38 were AD（64. 4% ）, 18 were VD（30. 5% ） ,3 were mixed dementia （5. 1% ）, the prevalence of dementia, AD, VD were significant different among different age groups; Women＇ s groups has higher dementia and AD prevalence than male;the prevalence of dementia, AD, VD in illiterate group were significantly higher than the primary school. Conclusions The prevalence of dementia and AD among elderly people in Santang community, Nanning, Guangxi Zhuang Autonomous Region is higher then other region , AD was the first type of dementia , and VD was the second. Illiteracy old man and the women has the higher dementia prevalence , the old age dementia prevalence increases with age.

关 键 词：南宁 社区 痴呆 阿尔茨海默病 患病率 

分 类 号：R749.16[医药卫生—神经病学与精神病学]