社区老年人痴呆流行病学调查  

EPIDEMIOLOGICAL SURVEY OF SENILE DEMENTIA AMONG ELDERLY PEOPLE IN COMMUNITY

作　　者：梁柳娟[1] 林启明[1] 黄朝[1] 林展云 郑伟中[1] 张碗芬 

机构地区：[1]广东省南海市人民医院保健科,528200

出　　处：《现代预防医学》2003年第4期515-516,共2页Modern Preventive Medicine

摘　　要：目的 :了解社区老年人痴呆的流行现状。方法 :采用整群抽样 ,以简易精神状态量表 (MMSE)法 ,对南海市桂城社区 14 18名 6 0岁以上老年人进行痴呆的流行病学调查。结果 :符合美国精神障碍诊断统计手册第 4版 (DSM- IV)和美国国立神经和语言障碍和卒中——老年性痴呆及相关疾病学会 (NINCDS- ADRDA)痴呆诊断标准者 6 5例 ,痴呆患病率 4 .5 8%。其中 Alzheim er病痴呆 (AD) 5 1例 ,患病率 3.6 0 % ,占 78.4 6 % ;血管性痴呆 (VD) 14例 ,患病率 0 .99% ,占2 1.5 4 %。痴呆及 AD患病率女性明显高于男性 (P<0 .0 1) ,而 VD患病率男女间差异无显著性 (P>0 .0 5 )。痴呆、 AD及 VD的患病率均随年龄的增长而增高 (P<0 .0 1)。文化程度越低 ,痴呆、 AD及 VD的患病率越高 (P<0 .0 5 )。结论 :社区痴呆患病率与世界各国报道相似 ;AD为主要类别 ;高龄、女性、低文化水平可能是痴呆的危险因素。Objective:In order to explore the prevalence of senile dementia among elderly people in community.Methods:1418 residents age 60 years and over were surveyed in community of Guicheng area by cluster sampling method with the Mini-Mental State Examination (MMSE).Dementia was clinically diagnosed according to the criteria of Diagnostic and Statistical Manual for Mental Disorders (NINCDS) and Stroke-Alzheimer's Disease and Related Disorders Association (ADRDA).Results:The prevalence of total dementia was 4.58%(65 patients).The prevalence of Alzheimer's disease (AD) and all dementia (VD) was 3.60% (51 patients) and 0.99% (14 patients).Of all dementia,AD and VD accounted for 78.46% and 21.54%.The prevalence in total dementia and AD in female was higher than that in male ( P <0.01),but there was no statistical difference between female and male in the prevalence in VD ( P >0.05).The prevalence of total dementia,AD and VD tended to increase with aging ( P <0.01).The prevalence of total dementia, AD and VD was increased with low level of education ( P <0.05).Conclusions:The prevalence of dementia in community is similar to that from other countries.AD is one of the main causes of dementia.Senility,lower educational level and female olders seemed to be risk factors of dementia.

关 键 词：社区 老年人 痴呆 流行病学 调查 简易精神状态量表 

分 类 号：R749.16[医药卫生—神经病学与精神病学]