廖雄南昌大学计算机系,南昌市社区老年性痴呆患病率及其影响因素

【摘要】

Objective Through follow-up survey of elderly in Nanchang community to find out the prevalence of Alzheimer 's disease ( AD) and its influencing factors .Methods The older people in Nanchang Hongdu community were selected ,Mini-Mental State Examination ( MMSE) as a screening tool ,based the clinical diagnosis ,χ2 analysis was used to analyze the collected information .Results The prevalence of AD in Nanchang community was 6.29%,AD prevalence rate was 4.44%.Age,sex,education,smoking,physical activity,social activity, and family history of dementia were related to the prevalence of AD (P<0.05),but there was no statistical difference in people who with dif-ferent marital status(P=0.084)and whether drink or not (P=0.732).Conclusions The simple and effective method should be found to screen and diagnose early AD ,so as to provide early prevention strategies ,and improve the quality of elderly life .%目的：了解南昌地区老年性痴呆的患病率及影响因素。方法选择南昌市洪都社区60岁以上的老年人为研究对象，以简易智能状态量表( MMSE)作为筛查工具，以临床确诊为依据。通过调查问卷收集资料，采用χ2检验分析数据。结果南昌市社区老年人的痴呆患病率为6．29％，其中阿尔茨海默病(AD)患病率为4．44％。χ2分析提示，年龄、性别、文化程度、吸烟、体育锻炼、社会活动、痴呆家族史等与 AD患病率有关( P＜0．05)，而在不同婚姻状况( P＝0．084)与是否饮酒( P＝0．732)者中无明显差异。结论南昌市社区老年人AD患病率较高，影响因素较多，需要简便有效的AD早期筛查诊断方法提供AD早期预防策略，从而提高老年人生活质量。