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汪秋燕 祝云龙▲.衢州市老年痴呆的患病率及危险因素[J].中国现代医生,2021,59(8):33-38
衢州市老年痴呆的患病率及危险因素
The prevalence of senile dementia in Quzhou city and its risk factors
  
DOI:
中文关键词:  老年痴呆  血管性痴呆  阿尔兹海默症  年龄  危险因素
英文关键词:Senile dementia  Vascular dementia  Alzheimer′s disease  Age  Risk factor
基金项目:浙江省科技计划项目(2016C33237)
作者单位
汪秋燕 祝云龙▲ 浙江省衢州市第三医院老年科浙江衢州 324000 
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中文摘要:
      目的 探讨衢州市老年痴呆的患病率及危险因素。方法 随机选取2019年1—5月衢州市三个社区为研究地点,共抽查60岁以上老年人2454例,对其个人资料及相关因素进行调查,分析影响老年痴呆患病的相关因素。结果 老年痴呆患病率随年龄增长呈上升趋势,女性患病率高于男性,差异有统计学意义(P<0.05);多因素非条件Logistic回归分析结果显示,年龄、听力、吸烟、鱼油类保健品、河鲜、户外活动、锻炼、读报纸、心理情绪状态、月收入、受教育年限及自觉健康状况是老年痴呆的独立危险因素(P<0.05)。结论 衢州市老年痴呆主要以阿尔兹海默症及血管性痴呆为主,且女性患病率高于男性,对于女性、收入较低、听力障碍、受教育年限较低及自觉健康状况差的老年人,应当给予充分的关心和相应的干预方式,以降低老年痴呆的患病率。
英文摘要:
      Objective To investigate the prevalence of senile dementia in Quzhou city and its risk factors.Methods From January to May 2019,three communities in Quzhou city were randomly selected as the research sites,and 2454 elderly people over 60 years old were randomly selected.Their personal data and related factors were investigated,and the related factors affecting the incidence of senile dementia were analyzed.Results The incidence of senile dementia increased with age,the prevalence of women was statistically significant higher than that in men (P<0.05).According to the multivariate non-conditional logistic regression analysis,age,hearing,smoking,fish oil health products,seafood,outdoor activities,exercise,newspapers reading,psychological and emotional state,monthly income,years of education and self-conscious health status were independent risk factors leading to senile dementia(P<0.05).Conclusion Alzheimer′s disease and vascular dementia are the main types of senile dementia in Quzhou city,and the incidence of females is higher than that of males.For females,those with lower income,hearing impairment,lower years of education and poor self-conscious health should be treated with sufficient nursing and corresponding intervention so as to alleviate the incidence of senile dementia.
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