军队离退休干部痴呆患病率及危险因素的初步研究

DEMENTIA IN MALE VETERENS: A PRELIMINARY STUDY OF ITS PREVALENCE AND RISK FACTORS

对 1491人 6 0岁以上男性军队离退休干部进行痴呆的患病率和危险因素调查。用简易精神状态检查量表 (MMSE)进行筛查 ,以DSM 3 R、NINCDS ADRDA、NINDS AIREN的标准作为痴呆、Alzheimer病 (AD)、血管性痴呆 (VD)的诊断标准。结果显示 ,AD、VD的患病率分别为 1.74%、1.2 1% ,总患病率为 3 .6 2 % ;6 5岁以上人群患病率分别为 1.84%、1.2 7%、3.82 %。高龄、文化程度低、精神创伤是痴呆和AD的危险因素 ,而电磁场暴露可能为AD的危险因素之一。

An epidemiological study was performed in 1491 male veterens aged 60 years and over to investigate the prevalence and risk factors of dementia. A field survey was carried out using MMSE in phase one. Then DSM-3-R criteria for dementia, NINCDS-ADRDA criteria for Alzheimer disease (AD), and NINDS-AIREN criteria for vascular dementia (VD) were applied to aid in diagnosis and differential diagnosis of various types of dementia. The prevalence of dementia, AD, VD in the population aged 60yr and over was 3.62%, 1.74%, 1.21%, in population aged 65yr and over was 3.82%, 1.84%, 1.27%. The risk factors of dementia and AD include poor education, stressful life events while occupational exposure to electromagnetic fields might be a possible risk factor for AD ( P <0.05).