日常生活活动能力量表在痴呆筛查中的应用

Application of the activities of daily living rating scale in screening dementia

目的 :以日常生活活动能力量表 (ADL)评定老年人日常生活能力 ,分析该量表对诊断老年痴呆的意义。 方法 :由北京市 8家医院在社区和医院调查正常人 (正常组 ) 15 2 7名 ,痴呆患者 (痴呆组 ) 12 6例和易与痴呆混淆疾病组 ,如老年抑郁症、老年精神分裂症等患者 84例 ,并作统计分析。 结果 :正常组ADL总分在城市和农村之间差异显著 ,与年龄呈正相关 ,与文化程度呈负相关。正常组与痴呆组ADL总分差异存在显著性。在ADL总分为 2 2时 ,对痴呆区分的灵敏度和特异性兼顾最好。 结论 :ADL可以比较有效地区分正常人和痴呆患者 ,如作为筛查工具 ,可以适当提高ADL的分界值。ADL值得进一步研究与推广。

Objective:To evaluate the role of the activities of daily living rating scale(ADL) in discriminating dementia. Method:A multi-center and prospective research included 8 hospitals in Beijing. 1 527 normal people,126 dementia and 84 cases with other senile mental disorders were investigated. Results:The ADL scores were different significantly between normal and dementia samples. At the score of 22, ADL had best sensitivity and specificity. ADL had positive relationship with age and negative relationship with education in normal population. Conclusion:It is helpful to screen the dementia from normal people by evaluating ADL.As a useful and efficient tool,ADL is well worth to studying further and recommending.