综合性医院住院老年人认知功能的调查研究

A Survey of Cognitive Function of Elderly Inpatients in General Hospital

分析综合性医院老年病人认知功能异常的检出率、特点及其影响因素。方法 :取 1997年 1月 15日上海甘泉医院住院病人 (年龄≥ 6 0岁 ) 16 4例。调查工具为中文版简易智能状态检查 (MMSE)。根据MMSE评分划分为正常组和异常组。结果 :①性别、教育程度对正常组与异常组MMSE均有影响 ;二组与教育程度密切有关 ,高文化程度对语言的短时记忆、物体命名有一定保护作用 ;但正常组随年龄增高 ,分数呈降低趋势 ,异常组MMSE总分、因子分则与年龄无相关 ;异常组受性别影响程度高于正常组 ,呈负相关。②认知功能异常检出率为 14 0 %。结论 :对 6 0岁以上住院病人进行常规认知功能筛选 。

Objective: To investigate the prevalence, characteristics and influencing factors of cognitive dysfunction of elderly inpatients in general hospital Methods: A total of 164 elderly inpatients aged more than 60 years old were selected from Ganquan Hospital on January 15, 1997 and were screened by a Chinese version of Mini-Mental Status Examination (MMSE) They were divided into normal group or abnormal group according to the scores of MMSE. Results: (1) Gender, age and educational level had influence on the scores of MMSE in both groups High educational level had some protective effects on short time memory and object naming The scores of normal group presented a decreasing tendency with age's increase, but the total scores and factorial scores of abnormal group had no correlation with age The influencing extent of gender in abnormal group was higher than that in normal group (2) The prevalence of cognitive dysfunction was 14 0% Conclusion: Routine cognitive screen can detect dementia earlier in elderly inpatients.