《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (6): 513-515.

• 论文 • 上一篇    下一篇

上海市老年期痴呆患病现况研究

季敏1，姚新伟2，吕军3，薛海波2，张云3，刘寅1，虞慧炯1   

  1. 1.上海市残疾人联合会，上海市 200127；2.上海市疾病控制精神卫生分中心，上海市200030；3.复旦大学公共卫生学院公共卫生安全教育部重点实验室，上海市 200032。
  • 收稿日期:2010-03-30 修回日期:1900-01-01 出版日期:2010-06-25 发布日期:2010-06-25
  • 通讯作者: 吕军

A Cross-Sectional Study of Senile Dementia in Shanghai

JI Min, YAO Xin-wei, Lü Jun, et al.   

  1. Shanghai Disabled People Federation, Shanghai 200127, China
  • Received:2010-03-30 Revised:1900-01-01 Published:2010-06-25 Online:2010-06-25

PDF (PC)

被引次数

19

摘要： 目的了解上海市65岁及以上人群痴呆患病情况。方法运用分层随机整群抽样方法，以上海3个街道(镇)共计15158名65岁及以上老年人为调查对象，经过量表筛查和精神科医生确诊2个阶段，实施老年期痴呆的流行病学调查。结果简易智能精神状态检查量表(MMSE)筛查阳性率为9.9%；日常生活活动能力量表(ADL)阳性率为9.9%；有2306名老人作为可疑患者进入确诊流程；最终确诊老年期痴呆患者1271例，65岁及以上社区人群老年期痴呆粗患病率为8.1%，年龄标化后为6.1%，患病率与年龄、性别、受教育程度、婚姻状况有关(P<0.01)。结论老年期痴呆已成为危害老年人健康的重要疾病之一。

关键词: 老年期痴呆, 筛查, 患病率, 研究

Abstract: ObjectiveTo investigate the epidemiology of senile dementia in Shanghai.Methods15158 residents aged 65 or over were selected by stratified random cluster sampling from 3 districts in Shanghai. Two stages was carried to ascertain dementia: in the first stage, Mini Mental State Examination (MMSE) and Activity of Daily Living Scale (ADL) were used as screening tools; in the second stage, DSM-Ⅳ criteria for dementia was applied to diagnosis.ResultsScreening positive rate of MMSE and ADL are both 9.9%. 1271 cases of elderly with dementia were identified. The crude and age-standardized prevalence in residents aged 65 or over was 8.1% and 6.1%. The female, older age, lower education and worse marriage seemed to be more susceptible to senile dementia(P<0.01).ConclusionSenile dementia has become one of major diseases harmful to elderly's health.

Key words: senile dementia, screening, prevalence, study