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老年期认知状况社区调查及轻度认知功能障碍的中医证型分布研究
络、肝阳上亢、火热内盛、腑滞浊留、气血亏虚 7 个基本证型进行辨证分析。调查
发现肾精亏虚证占总病例的42.00%。其次是痰浊阻窍证、瘀血阻络证,分别占19.25%
及 17.74%,其余按发病由高到低的顺序依次为:气血亏虚证,肝阳上亢证,腑滞浊
留证,火热内盛证。
结论:通过研究表明,患有轻度认知功能障碍的老年人占社区老年人的相当比
例,其中血管因素为主要的危险因素,证型以肾精亏虚、痰浊阻窍、瘀血阻络较为
常见,为提高老年人的生活质量,减轻家庭负担,对于轻度认知功能障碍的研究值
得进一步深入。
关键词 认知状况;社区筛查;中医证候分析
Community Survey of Gerontic cognitive status and Research on
TCM Syndrome Type Distribution of Mild Cognitive Impairment
Speciality: Internal Medicine of TCM
Author:Feng Wenxiao
Tutor: Pro.Cao Xiaolan
Abstract
Objective: Understand the jinan 60-80 of the elderly in community, identification,
analysis, cognitive and cognitive level related major factors, screening out with vasogenic
mild cognitive impairment, and carry on the older learn syndromes, discusses the
observational study of mild cognitive dysfunction etiology and pathogenesis, clinical
characteristic, induces and syndromes learn dynamic change and the corresponding
evolution rule, for Chinese medicine control to provide dialectical basis dementia.
Methods: This research taking jinan community at the age of 60 -80, 600 cases as
the research object, the older of epidemiological investigation method, the investigators
by A unified training using mini-mental state scale (MMSE), Montreal cognitive
assessment scale (MoCA) and A, B volumes of such evaluation tools, face-to-face client
holds the questionnaire investigation and families, evaluation of the conscription
examination with mild cognitive status of patients with cognitive dysfunction confirmed.
On this basis, for old age mild cognitive impairment of risk factors, which is investigating
vasogenic risk factors of patients, observe syndromes characteristics, formulate TCM
symptoms of symptoms was observed table, each grade quantitativ
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