佛山市容桂地区老年人认知功能障碍患病情况调查及其影响因素分析

Analysis of the prevalence and influence factors of cognitive impairment among the elderly people of Ronggui area in Foshan

目的分析佛山市容桂地区老年人认知功能障碍的患病情况及其影响因素。方法选取2014年1月至2015年1月佛山容桂社区的7852例老年人进行认知功能障碍筛查,采用蒙特利尔认知评定量表(MoCA)、简易智能精神状态检查量表(MMSE)、临床痴呆评估量表(CDR)及全面衰退量表(GDS)开展初筛,根据临床诊断标准进行确诊,观察认知功能障碍患者的人口学特征,分析疾病影响因素。结果 7852例老年人中共787例确诊为认知功能障碍,患病率为10.0%,Logistic回归分析显示,年龄、婚姻情况、文化程度与居住情况是认知功能障碍的主要影响因素。结论容桂地区老年认知功能障碍患病率与国内患病率基本持平,对高龄、无配偶、独居及文化程度偏低老年人需给予更多关注。

Objective To analyze the prevalence and the influence factors of cognitive impairment among the elderly people of Ronggui area in Foshan.Methods A total of 7852 cases of elderly people in Ronggui area were accepted cognitive dysfunction screening.The Montreal cognitive assessment（MoCA）,mini mental state examination（MMSE）,clinical dementia assessment（CDR）and total depression（GDS）were used to carry out preliminary screening,and the patients were diagnosed according to clinical diagnosis criteria.The demographic characteristics of patients with cognitive dysfunction were observed,and the influencing factors were analyzed.Results A total of 787 cases in 7852 elderly were diagnosed as cognitive impairment,the prevalence rate was10%.Logistic regression analysis showed that age,marital status,educational level and living condition were the main influencing factors of cognitive impairment.Conclusion The prevalence of cognitive impairment in the elderly in Ronggui area is essentially flat with the prevalence of cognitive impairment in China.The elderly,no spouse,living alone and low education level of the elderly need to be given more attention.