重庆渝中区街道老年期痴呆横断面研究  

A cross-sectional study of senile dementia in Liang Lukou street of Yuzhong county of Chongqing

作　　者：邹开利[1] 漆静[1] 何源[1] 张守华[1] 官莉[1] 

机构地区：[1]重庆市第三人民医院老年科,400014

出　　处：《中华老年医学杂志》2002年第6期433-435,共3页Chinese Journal of Geriatrics

基　　金：重庆市卫生局医学科研基金 (0 0 2 0 2 1)

摘　　要：目的　了解重庆市社区老年期痴呆的流行病学情况。　方法　调查 4个居委会共计 15 19≥ 65岁的老人 ,用简易精神量表 (MMSE)及自行设计的调查表进行初筛。再根据美国精神疾病诊断和统计手册修订第IV版 (DSM IV R)临床诊断和Hachinski缺血量表进一步确定和区分为Alzheimer型痴呆 (AD)和血管性痴呆 (VD)。　结果　老年期痴呆患病率为 5 73 % ,其中AD患病率为 4 8% ,VD患病率为 0 5 9% ,混合型患病率为 0 3 4%。　结论　高龄、低文化水平、丧偶独居、性格内向是AD和VD的共同易患因素 ,女性可能还是AD的危险因素 ,VD的危险因素与脑卒中。Objective To detect the epidemiology of senile dementia of communities in Chongqing. Methods A total of 1 519 people aged 65 years and over from four residents' communities were investigated. Senile dementia was scanned using MMSE and our questionnaires. Alzheimer Disease (AD) and Vascular Dementia (VD) were diagnosed using America psychiatry disease diagnosis, clinical diagnosis of DSM-IV-R and Hachinski score . Results Prevalence rate of senile dementia was 5.73%, among which AD was 4.8% ,VD was 0.59%,the other was 0.34%. Conclusions The older age, lower education, widowed condition and withdrawn character seemed to be more susceptible to AD and VD, whereas females were the risk factor of AD.

关 键 词：重庆 渝中区 老年期痴呆 横断面研究 流行病学 危险因素 

分 类 号：R749.16[医药卫生—神经病学与精神病学]