上海地区老年记忆障碍义诊参加人群分析.doc

上海地区老年记忆障碍义诊参加人群分析摘 要 目的：了解老年记忆障碍义诊人群的特点。方法：在公共媒体上发布每周六义诊信息，对来访人群先由心理评估员记录一般人口学特征（性别、年龄、文化程度），采用简明智能筛查量表（MMSE）评估，再由临床医师进行诊断并提供咨询建议。诊断分为主诉健忘（subjective memory complaints，SMC）、轻度认知功能损害（mild cognitive impairment，MCI）和痴呆（dementia，D）三组。结果：共义诊621人次，剔除重复就诊、代询、非认知损害就诊及资料不全者，最后纳入统计分析的为368例。368例就诊者中，诊断为SMC 194例（占52.7%）、MCI 82例（占22.3%）、D 92例（占25%），三组间在性别、年龄、文化程度方面有显著性差异。结论：义诊方式有助于早期发现与干预老年期痴呆。 关键词义诊 主诉健忘 轻度认知损害 痴呆 中图分类号：R195.4 文献标识码：A 文章编号：1006-1533(2011)11-0554-04 Analysis on the participants consulting for memory impairment in Shanghai* LIN Xiang，LI Xia，SHI Yan-chen，ZHANG Sheng-yu， JI Cao-jun，SU Nin，LIU Yuan-yuan，WANG Tao，XIAO Shi-fu （Shanghai Mental Health Center，School of Medicine at Shanghai Jiao Tong University，Shanghai，200030） ABSTRACTObjective: To understand the characteristics of the aged who suffer from the impaired memory in the free medical consultations. Methods: The news about the free medical consultations every Saturday was released. For the group of visitor，the general demographic characteristics (such as gender，age，educational level) were first recorded by psychological assessors and evaluated by the screening scale MMSE (Mini Mental State Examination). Then the diagnosis was proceeded and some advices were given by physicians . The diagnosis consists of three parts: subjective memory complaints (SMC)，mild cognitive impairment (MCI) and dementia (D). Results: Total 621 person-times came to attend the free medical consultations and 368 cases were finally taken into statistical analysis except for those who came more than once and，consulted for relatives or for non-cognitive questions and those whose information was incomplete. Among them，194 cases (52.7%) were diagnosed as SMC，82 cases (22.3%) as MCI and 92 cases (25%) as dementia. There are significant differences among three groups in gender，age and education level. Conclusion: Free medical consultations are beneficial to finding out and intervening in dementia at early times. KEY WOR