驻黔军队离退休干部轻度认知功能障碍患病率调查

Prevalence survey on mild cognitive impairment among military retired cadres in Guizhou

目的对驻黔军队离退休干部轻度认知功能障碍(MCI)的患病率进行调查,并探讨危险因素,为该人群MCI的防治提供参考依据。方法采用一对一问卷调查方式,使用简易智能状态量表(MMSE),对贵州省11个军队干休所全部男性离退休干部进行认知检查。结果共纳入符合条件的男性调查对象206人,MCI患病率为11.65%,MCI的患病率随年龄的增长而增高。Logistic回归分析显示,MCI患病率与贫血、低血压、糖尿病、短暂性脑缺血发作(TIA)、脑外伤、脑梗死、抑郁评分呈正相关(P<0.01),与参加锻炼、写日记呈负相关(P<0.01)。结论驻黔军队离退休干部MCI患病率较低,MCI患病率与年龄、脑血管疾病等因素相关。为降低发生痴呆的可能性,应加强军队离退休干部认知功能早期监测,并对MCI患者进行早期干预。

Objective To investigate the prevalence of mild cognitive impairment（MCI） among military retired cadres in Guizhou and to discuss the risk factors in order to provide reference for the prevention and treatment of MCI in this population. Methods Using one to one questionnaire method and MMSE, inspection was made in the cognitive function of all retired male cadres in 11cadre’s sanatoriums in Guizhou province. Results 206 male objects were investigated. MCI prevalence was 11.65%. The prevalence rate of MCI rose along with the increase of age. Logistic regression analysis showed that MCI prevalence was positively correlated with anemia, hypotension, diabetes, transient ischemic attack（TIA）, cerebral trauma, cerebral infarction, and depression score（P 〈 0.01）and negatively correlated with taking exercises and writing diary（P 〈 0.01）. Conclusion The prevalence of MCI is relatively low among military retired cadres in Guizhou. MCI is correlated with the factors like education level, age, and cerebrovascular diseases. In order to decrease the probability of dementia, early monitoring of the military retired cadres should be strengthened, and early intervention in patients with MCI should be carried out.