宁夏地区55岁及以上回、汉族居民的轻度认知功能障碍现状

发布时间：2018-09-12 13:39

【摘要】：目的调查宁夏地区55岁及以上回、汉族人群的轻度认知功能障碍(MCI)现状。方法分别采用典型抽样法和概率比例规模(PPS)抽样法在宁夏城市和农村社区抽取55岁及以上人群2 471例,由统一培训的调查员采用简易智能精神状态检查量表(MMSE)和日常生活能力(ADL)量表进行MCI的筛查,比较回、汉族人群检出率差异。结果共有439例符合MCI判定标准,检出率为21.6%(95%CI:19.1~23.2)。农村检出率高于城市(24.3%vs 19.2%),女性检出率高于男性(27.1%vs 13.5%),回族检出率高于汉族(25.0%vs 20.0%,P均0.05);随年龄的增长检出率呈显著增高趋势(χ~2=40.26,P0.001);控制年龄、性别、城乡和文化程度后,汉族MCI的检出率仍显著低于回族(OR=0.74,95%CI:0.56~0.90)。结论宁夏地区55岁及以上人群MCI检出率处于较高水平,回、汉族之间具有显著差异。
[Abstract]:Objective to investigate the status of mild cognitive impairment (MCI) in Han population aged 55 and above in Ningxia. Methods A total of 2 471 people aged 55 years and above were selected from urban and rural communities in Ningxia by using typical sampling method and probability scale (PPS) sampling method, respectively. (MMSE) and (ADL) were used to screen the MCI. The detection rate of MCI was different among the Han population. Results A total of 439 cases met the criteria of MCI, the detection rate was 21.6% (95%CI:19.1~23.2). The detection rate in rural areas was higher than that in urban areas (24.3%vs 19.2%), in women was higher than that in men (27.1%vs 13.5%), and in Hui nationality was higher than that in Han nationality (25.0%vs 20.0%, all P 0.05). The detection rate of MCI in Han nationality was still significantly lower than that in OR=0.74,95%CI:0.56~0.90. Conclusion the detection rate of MCI in the population aged 55 years and over in Ningxia is at a high level, and there is a significant difference between the Han nationality and Hui nationality.
【作者单位】：宁夏医科大学公共卫生学院流行病与卫生统计学系;北京大学精神卫生研究所卫生部精神卫生学重点实验室;宁夏医科大学总医院心脑血管病医院病案室;宁夏医科大学总医院综合病房;
【基金】：卫生行业科研专项基金(201202022) 宁夏自然科学基金(NZ15083)
【分类号】：R749.1

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