北京城、乡老年期痴呆患者205例三年随访分析  

Outcome of three-year follow-up for elderly people with dementia in urban and rural areas of in Beijing

作　　者：汤哲[1] 项曼君[1] 

机构地区：[1]首都医科大学宣武医院流行病学和社会医学部,100053

出　　处：《中华老年医学杂志》2003年第5期305-307,共3页Chinese Journal of Geriatrics

基　　金：北京脑老化研究实验室课题 (项目号 95 1890 60 0 )

摘　　要：目的　观察老年期痴呆对老年人生存的影响。　方法　 1997年采用 2阶段法对北京城乡 6 0岁及以上老年人群进行痴呆患病率调查 ,2 0 0 0年对该人群全面随访并进行 3年的死亡追踪。　结果　 1997年基线调查共 2 788人 ,2 0 0 0年访到 2 72 1人 ,其中存活 2 30 7人 (82 7% ) ,死亡 4 14人(14 9% ) ,另因搬迁等失访 6 7人 (2 4 % ) ,以追踪到的 2 72 1例为纵向预后分析样本 ,年死亡率为3 79% (标化 )。 2 0 5例痴呆老年人 3年中死亡 10 1例 ,累计死亡率高达 4 2 4 6 % (标化 ) ,约为非痴呆患者的 5倍。在痴呆患者中性别间的死亡率差异无显著性 ,农村地区及 75岁以上高龄痴呆老人死亡率增加。但 75岁以下低龄痴呆患者及阿尔茨海默型痴呆对生存的影响更大 ,伴有躯体功能障碍的痴呆老人死亡率增加。　结论　痴呆是影响老年人生存及生活质量的重要疾病 ,应加强防治。Objective To analyze the influence of elderly dementia living in urban and rural areas of Beijing on their survival rate. Methods The elderly people with dementia aged 60 years and over lived in Beijing was investigated since 1997 by two step method and the mortality of the same population was followed up in 2000. Results A total of 2 788 patients were collected in 1997, and 2 721 of them were visited in 2000. Sixty seven(2 4%) of them were lost for follow up due to making a move and other reasons. Among the followed 2 721 cases , 2 307 were still alive (82 7%) and 414 died (14 9%), with the annual fatality rate being 3 79%(standardized). For all 205 cases diagnosed as dementia in 1997, the accumulated fatality rate was 42 46%(standardized), being 5 folds of the fatality for the non dementia. No significant difference was found in the fatality rate between male and female dementia. The fatality of dementia in rural area and over 75 years of age increased. Age and living conditions influenced significantly the fatality, and the fatality rate increased in patients with dementia and dysfunction of body moving. Conclusions Dementia is a disease impacting seriously the survival of elderly people.

关 键 词：北京市 老年期痴呆 患病率 流行病学 防治 

分 类 号：R749.16[医药卫生—神经病学与精神病学]