2016年西宁市部分社区健康人群认知功能调查

Survey on cognitive function among some community healthy residents,Xining city,2016

目的了解西宁市社区常住健康人群的认知功能。方法 2016年4～9月采用整群随机抽样方法抽取海拔2 200 m的西宁市4个社区(城北区、城东区、城中区、城西区)的≥30岁常住健康人群进行一般情况及简易精神状况量表(MMSE)调查。结果调查1 312人,男性795人(占60.59%),女性517人(占39.41%),平均年龄(51.32±7.81)岁。西宁市部分社区30岁及以上的健康人群中认知异常92例(异常率为7.01%)。男性认知异常率7.54%,女性异常率6.19%(P>0.05)。各年龄组随年龄的增加,认知异常率增加(P<0.01)。文化程度越低,认知异常率越高(P<0.01)。Logistic回归分析显示,吸烟(OR=3.06,95%CI=1.50～6.43)、体力活动(OR=3.01,95%CI=1.01～8.95)及爱好食肉(OR=0.38,95%CI=0.21～0.70)是认知异常的危险因素。结论西宁市社区常住健康居民的认知异常率与国内报道的接近。

Objective To understand the cognitive function among community healthy residents in Xining city. Methods The cluster random sampling survey of all permanent residents aged 30 years and over was conducted in 4 communities(north,east,central and west area) of Xining city at an altitude of 2 200 m.A general questionnaire survey and Mini Mental State Examination(MMSE) were adopted. Results A total of 1 312 subjects were surveyed,including 795 males(60.59%) and 517 females(39.41%),the average age was(51.32±7.81) years old.There were 92(7.01%)people had cognitive dysfunction among all the subjects,with the rate of 7.54% and 6.19% in males and females(P>0.05).The rate of cognitive dysfunction increased with age(P<0.05) and education level(P<0.05).Logistic regression analysis showed that smoking(OR=3.06,95%CI=1.50-6.43),physical activity(OR=3.01,95%CI=1.01-8.95) and flexivore(OR=0.38,95%CI=0.21-0.70) were risk factors for cognitive dysfunction. Conclusion The cognitive abnormality rate of community healthy permanent residents in Xining city is close to it reported in China.