上海社区老年人轻度认知功能障碍相关因素分析

The Related Factors Analysis of Elderly People with Mild Cognitive Impairment in Shanghai Community

目的:探讨分析上海社区老年人轻度认知功能障碍(MCI)的特点以及相关因素的影响。方法:运用病例对照研究的方法,从上海市浦东新区55岁以上老年人中选取具有轻度认知功能障碍的患者174例作为MCI组,另174例认知功能正常老年人设为正常对照组,采用蒙特利尔认知评估量表(MoCA)对人群认知功能进行评估,同时对文化程度、个性倾向、行为因素和饮食习惯等相关因素进行分析。结果:经分析发现,总体认知功能与不同领域认知功能相比,两组差异具有统计学意义(P<0.05);在多因素比较中发现个性倾向、行为因素、饮食习惯以及人群受教育程度都与MCI显著相关。结论:轻度认知功能障碍患者的记忆、视空间能力、执行能力、语言功能、计算与注意力均具有不同程度的损伤。患者性格内向、好食荤腥和饮酒是MCI的独立危险因素,而使用人群的受教育水平和规律的运动习惯则是MCI的保护因素。

Objective： To investigate the elderly people with mild cognitive impairment （ MCI ） characteristics and related factors in Shanghai community. Method： Used a case-control study method, selected 174 cases as MCI group, another 174 patients with normal cognitive function as normal control group from the 55 years of age or older with mild cognitive dysfunction in the city of Shanghai Pudong New Area, used MoCA on human cognitive function was assessed in the degree of education, personality tendency, behavioral factors,＇ the dietary habits and other related factors analysis at the same time. Result： The analysis showed that overall cognitive function cognitive function was sign.ificant difference compared with different areas （ P〈0.05 ） ; in the multiple factors, compared with personality tendency, behavioral factors, dietary habits as well as the population level of education was significantly associated with MCI. Conclusion： The patients with mild cognitive impairment of memory, visual spatial ability, executive ability, language function, calculation and attention have different degrees of injury. Patients with introverted, yummy dinner and drinking are independent risk factors of MCI, while the use of people＇s education level and regular exercise habits are protective factors of MC1.