上海地区老年记忆障碍义诊的参加人群分析.PDFVIP

临 床 交 流 上海地区老年记忆障碍义诊的参加人群分析* 林翔 李霞 史琰琛 张盛宇 季曹珺 苏宁 刘园园 王涛 肖世富 （上海交通大学医学院附属精神卫生中心 上海 200030） 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） ABSTRACT Objective: 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 statist