西北地区军队离退休干部老年痴呆及认知障碍流行病学调查和危险因素分析

目的:通过调查西北地区军队离退休干部老年痴呆及认知障碍的患病率,并分析其危险因素,掌握其健康状况,指导保健工作的开展.方法:对西北地区军队46个干休所18 820人中60岁以上3047名人员进行病史采集、临床体检等检测,由专科医师做出诊断. 使用量表为<长谷川智力量表(HDS)>和<临床记忆量表>.结果:老年痴呆的患病率分别为痴呆期0.7%,痴呆前期1.5%,轻度异常21.4%,总患病率为23.6%. 在多种相对危险因素中女性、高龄、脑萎缩、脑梗死、无喝茶嗜好、冠心病、高血压病、文化程度低等8种危险因素尤为突出.结论:西北地区军队离退休干部老年痴呆及认知障碍的患病率高于国内其他地区. 8种危险因素严重影响着老年痴呆及认知障碍患病率的高低. 对痴呆前期及轻度异常患者采取积极的综合干预可提高部队离退休老干部的生活质量.

Epidemiological investigation and risk factor analysis of senile dementia and cognitive disorder in veteran cadres in Northwest China

AIM: To investigate the prevalence rate and risk factors of senile dementia and cognitive disorder in the veteran cadres in northwest area in China. METHODS: Among the 18 820 veteran cadres from 46 cadres' sanatoriums in northwest area, 3047 subjects of over 60 years old were investigated in their disease history and current physical status and diagnosed by the neuropsychological physicians. The assessment was carried out twice by Hasegawa' s dementia scale (HDS) and Clinical Memory Scale, respectively. RESULTS: The prevalence rate was 0.7% in dementia, 1.5% in pre-dementia, 21.4% in mild abnormality, and the total prevalence rate was 23.6%. The dominant risk factors included female, eld, cerebral atrophy and infarction, no tea addiction, coronary heart disease, hypertension and low education level. CONCLUSION: The prevalence rate of senile dementia and cognitive disorder is higher in the northwest area than that in any other areas. The 8 risk factors exert important influence on the prevalence rate. The comprehensive intervention aiming the elderly in the pre-dementia or with mild disorder would help to improve the whole living quality of military veteran cadres.