摘要
目的通过对重庆两路口街道老年期痴呆的横断面调查,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1519例≥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0.59%,混合型患病率为0.34%。经logistic多元回归分析随年龄每增加5岁,患病的危险增加1.132倍,女性患病的危险是男性的1.132,低文化水平、丧偶独居、性格内向、高血压、脑卒中患痴呆的OR值为1.593,1.775,2.627,1.951,2.253,而少量饮酒OR值为0.449。结论高龄、女性、低文化水平、丧偶独居、性格内向是老年期痴呆的易患因素。
Aim To detect the epidemiology of community senile dementia in Chongqing by cross-sectional stu dy on senile dementia at Lianglukou s treet of Chongqing.Methods A total of 1519people over 65years fr om four residents communities were investigated .Fir st screening was performed accordin g to MMSE and our questionnaires.Accord ing to America psychiatry disease di ag-nosis and statistics handbook,the f ourth edition(DSM-IV-R)clinical diagnosis and Hachinski score Alzhemer Disease(AD)and Vascular Dementia(VD)were diagnosed.Results Prevalence rate of senile dementia was 5.73%,among which AD was 4.8%,VD was 0.59%and oth ers were 0.34%.By logistic multiple regression analysis,the i ncidence increased1.132times every 5years,incidence in females was 1.132times higher than that in males and ORvalues of low education level,losing spouse,introversion,hypertension and str oke were respectively 1.593,1.775,2.627,1.951,2.253while the OR value of litt le drinking was 0.449.Conclusion Older age,female,loweducation lev el,living alone,introversion are the suscept ible factors for senile dementia.
出处
《中国临床康复》
CSCD
2003年第10期1550-1551,共2页
Chinese Journal of Clinical Rehabilitation
基金
重庆市卫生局医学科研基金(00-2021)~~
