【摘要】 目的了解福州市区老年期痴呆的患病率及其相关的社会、心理危险因素。方法采用整群抽样、两阶段调查的方法从福州市五个区中,每个区中抽取两个居委会,选择60岁以上的全体老人为调查对象,以简易智能状态检查量表(MMSE)为筛查工具,以日常生活能力评定表(ADL)、流调用抑郁自评量表为评定工具,入户采访筛查MMSE异常者,按相关的痴呆诊断标准予确诊分类。结果调查2 373人,老年期痴呆141例,患病率为5.94%,其中阿尔茨海默病占57.45%,血管性痴呆占24.82%,混合型占7.09%,其他类型占10.64%。老年期痴呆患者的日常生活能力受损程度和抑郁严重程度均高于非痴呆者。Logistic回归分析显示,自觉健康状况差(P=0.009,OR=1.490)、听力不好(P=0.000,OR=1.907)、心理情绪状态差(P=0.024,OR=1.495)、低教育水平(P=0.000,OR=0.611)、高龄(P=0.000,OR=1.428)、低收入(P=0.000,OR=0.706)是老年期痴呆的危险因子。结论福州市区60岁以上老年人痴呆的患病类型以阿尔茨海默病和血管性痴呆为主;对女性、高龄、一般健康状况差、低视听能力、心理情绪状态差、与邻居关系不好、经常感到孤独、低收入、有痴呆家族史、婚姻状况不良、低教育水平的老年人应给予关注和干预。更多还原

【Abstract】 Objective To understand the incidence of Fuzhou senile dementia and its dangerous social-psychological factors.Methods By group sampling,all people over 60 from two neighborhood committees in each district among five districts in the city of Fuzhou were chosen in two stages as our survey subjects.The standards employed for determination were MMSE,ADL and CES-D.The abnormities of MMSE were diagnosed and classified according to the related dementia diagnosing standards.Results Of 2 373 surveyed,141 cases were senile dementia with the incidence of 5.94%.Alzheimer’s dementia made up 57.45% of the whole,vascular dementia 24.82%,mixed type 7.09% and others 10.64%.The impairment of daily viability and depression of senile dementia patients were more severe than that of none senile dementia people.Logistic regression analysis:subjective poor health condition(P=0.009,OR=1.490),poor auditory ability(P=0.000,OR=1.907),poor mental and emotional state(P=0.024,OR=1.495),low education level(P=0.000,OR=0.611),old age(P=0.000,OR=1.428)and low income(P=0.000,OR=0.706) were the dangerous factors of senile dementia.Conclusion Alzheimer’s dementia and vascular dementia constitute the major types of senile dementia.Attention and interference should be given to those senile people of female,old age,poor health condition,poor auditory and visual ability,poor mental and emotional state,not getting along well with neighbors,constant feeling of loneliness,low income,having family history of dementia,bad marital status and low education level.更多还原