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周东升, 徐银儿, 陈中鸣, 胡珍玉, 陈彦方. 老年人轻度认知功能障碍患病调查[J]. 中国公共卫生, 2011, 27(11): 1375-1377. DOI: 10.11847/zgggws2011-27-11-06
引用本文: 周东升, 徐银儿, 陈中鸣, 胡珍玉, 陈彦方. 老年人轻度认知功能障碍患病调查[J]. 中国公共卫生, 2011, 27(11): 1375-1377. DOI: 10.11847/zgggws2011-27-11-06
ZHOU Dong-sheng, XU Yin-er, CHEN Zhong-ming, . Prevalence of mild cognitive impairment among the elderly[J]. Chinese Journal of Public Health, 2011, 27(11): 1375-1377. DOI: 10.11847/zgggws2011-27-11-06
Citation: ZHOU Dong-sheng, XU Yin-er, CHEN Zhong-ming, . Prevalence of mild cognitive impairment among the elderly[J]. Chinese Journal of Public Health, 2011, 27(11): 1375-1377. DOI: 10.11847/zgggws2011-27-11-06

老年人轻度认知功能障碍患病调查

Prevalence of mild cognitive impairment among the elderly

  • 摘要: 目的 了解浙江省宁波市社区老年人轻度认知功能障碍(MCI)的流行病学特征.方法 采用随机整群分层分阶段抽样的方法对宁波市6个社区,年龄≥60岁的老年人进行现况调查及筛查,完成调查问卷及简易精神状况量表;临床诊断,对有明显记忆障碍者及简易精神状态量表(MMSE)分数低于界值者进一步进行临床检查,并由2名精神科医师进行最后诊断;同时进行总体衰退量表、Hachinski缺血指数量表、临床痴呆评定量表等评定.结果 调查1 227人,男性536人,女691人,MMSE阳性者131例,占10.68%,确诊为MCI者107例,患病率为8.72%;不同年龄段、文化程度、职业,居住及文化生活情况的老年人,其MCI患病率差异均有统计学意义(P<0.05).结论 高龄、低文化水平、嗜烟、不喝酒或嗜酒、少吃鱼及海产品、单独居住以及少阅读等患MCI的危险性增加.

     

    Abstract: Objective To investigate the prevalence of mild cognitive impairment(MCI) and its related factors among elderly people in communities of Ningbo city.Methods From September to December 2009,we carried out a random cluster sampling survey to investigate the elderly aged 60 years or above living in six communities of Ningbo city.The survey was conducted in two stages.In the first stage,an interviewto the subjects was performed by trained interviewers for a general questionnaire survey and Mini Mental State Examination(MMSE).In the second stage,for the subjects with distinct cognitive impairment or dysmnesia and those with the scores less than the cut-off point of MMSE,the tests including physical examination,Global Deterioration Scale,Hachinski Ischemic Scale,Hamilton Depression Scale,Clinical Dementia Rating,and neurological examination were conducted.Then MCI was diagnosed by the consensus of two psychiatrists.The data were analyzed with SPSS 15.0.Results A total of 1 227 subjects(536 males and 691 females) were surveyed.Among the subjects,131(10.68%) were diagnosed with MCI.The prevalences of MCI were significantly different among the subjects of different age,education,and occupation(P < 0.05 for all).Conclusion Older age,loweducation,smoking,alcohol consumption,less intake of fish and seafood,living alone,and lack of reading may increase the incidence of MCI among the elderly.

     

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