论文部分内容阅读
目的调查北京市牛街回、汉族居民老年期痴呆的患病率并探讨其影响因素。方法根据ＩＣＤ－１０、ＤＳＭⅢＲ及ＮＩＮＣＤＳ－ＡＤＲＤＡ痴呆诊断标准，对牛街６０岁及以上居民回族４００人、汉族１０１人进行了流行病学调查，并应用多元逐步回归方法分析痴呆的严重程度与１６项影响因子的关系。结果确诊痴呆患者回族１６人、汉族１０人，粗患病率分别为４．０％和９．９％，全国调整率分别为３．１％和８．４％；回、汉族均以血管性痴呆（ＶＤ）为主，其中皮质下ＶＤ多见。ＶＤ的主要影响因素是社会活动，Ａｌｚｈｅｉｍｅｒ病（ＡＤ）最显著的影响因素是痴呆家族史。结论牛街回族老年人痴呆患病率低于汉族，影响因素是心理、社会等，提示老年人精神卫生保健工作的重要性
Objective To investigate the prevalence of dementia in the elderly and the Han residents in Beijing and its influence factors. Methods According to the diagnostic criteria of dementia of ICD-10, DSMⅢR and NINCDS-ADRDA, epidemiological investigation was conducted on 400 residents of Hui nationality aged 60 and over in Niujie and 101 of Han nationality. The severity of dementia was analyzed by multivariate stepwise regression analysis. The relationship between the impact of factors. Results There were 16 Hui patients diagnosed with dementia and 10 Hans, the crude prevalence rates were 4.0% and 9.9%, respectively. The national adjustment rates were 3.1% and 8.4% respectively. Both Hui and Han were vasculogenic Dementia (VD) -based, of which more common subcortical VD. The main influencing factor of VD is social activity. The most significant influencing factor of Alzheimer’s disease (AD) is family history of dementia. Conclusion The prevalence of dementia in the elderly in Niujie is lower than that in the Han people, and the influencing factors are psychology and society, suggesting the importance of mental health care in the elderly