汤先镗 田大政 刘令申 杨曼 崇青 陈咏梅 姚梓 李建华 张春梅 谷琳 100054 北京市回民医院〔汤先镗(现在100041 北京首都钢铁公司总医院神经内科)、田大政、刘令申、杨曼、崇青、陈咏梅、姚 、李建华、张春梅、谷琳〕 中华老年医学杂志 1998 10 17 5


    关键词：痴呆，老年性/流行病学 期刊 zhlnyxzz 0 调查研究 fur -->


    

摘要 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。

An epidemiologicalstudy of dementia of the aged

Hui and Han residents inNiujie area of Beijing Tang Xiantang, Tian Dazheng, Liu Lingshen, et al. Beijing HuiPeople Hospital, Beijing 100054

Abstract Objective To survey the morbidity rate andthe influential factors on dementia in the aged Hui and Han residents in Niujie area ofBeijing. Methods According to diagnostic criteriaof dementia ICD-10, DSMⅢR and NINCDS-ADRDA, the epidemiological survey was made among 400Hui and 101 Han residents over age of 60 living in the area of Niujie in Beijing. Themethod of multiple stepwise regression was used to analyse the relationship between theseverity of the 2 types of dementia 〔 vascluar dementia (VD) and Alzheimer's disease (AD)〕 and 16 influential factors. Results There were 16 Hui patients and 10Han patients diagnosed as dementia which roughly covered 4.0% and 9.9% respectively, andthe national standardized rate was 3.1% and 8.4% respectively. VD which covered 60% ofdementia and the mostly were subcortical vascular dementia, was the main type in bothnationalities. AD and other mixed types of dementia covered about 40%. The most importantinfluential factor was social activtiy in VD and family history of dementia in AD. Conclusions The morbidity rate of seniledementia in Hui was less than that of Han patients, which was affected by psychological,social and other factors. These results suggest the importance for old people to keeptheir psychological or psychic hygiene.

    Key Words Dementia ......

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