摘要
目的比较探讨中日两国痴呆老人患病类型及精神行为症状(BPSD)发生率的差异。方法以辽宁省沈阳市苏家屯地区3432例65岁以上老年人为调查对象进行痴呆的流行病学调查,并与在日本新潟县丝鱼川地区调查结果比较。结果(1)调查地区痴呆的患病率为8.13%,低于日方调查结果10.6%。其中阿尔茨海默病(AD)占23.9%(日本为57.1%),血管性痴呆(VD)为56.6%(日本为22.6%)。(2)痴呆患者的精神行为症状(BPSD)的发生率两国之间无明显性差异,但不安症状、忧郁、烦躁、依赖等情感方面的变化以及大小便失禁症状方面,中方的发生率明显高于日方。结论老年痴呆已经成为当今中国的一个重大社会问题,中日两国痴呆患者患病类型及BPSD发生率出现差异的原因与两国之间的医疗保障制度以及生活水平不同相关。
Objective To compare the difference of dementia senior citizens types and BPSD between Chinese and Japanese. Methods 3432 senior citizens beyond 65 years living in LiaoNing ShengYang Sujiatun area and compare the investigating result with Japan XinXie county Siyuchuan area. Results （1）The prevalence rate in China area is 8.13%, lower than the result 10.6% in Japan. Thereinto AD occurring rate account for 23.9%, （57.1% in Japan）, VD occurring rate account for 56.6%, （22.6% in Japan）. （2）The BPSD occurring rate difference between China and Japan is not significant, but the changing in emotional aspects of unease symptom, cafard, and fret, lean etc. and relieve the bowels irre： tention symptom, the occurring rate in Chinese is significantly higher than that in Japanese. Conclusions The senile dementia has come to a graveness social problem in China, the reason between the sicken style and BPSD occurring rate in Chinese and Japanese is correlated with the difference of the medical treatment system and standard of living.
出处
《神经疾病与精神卫生》
2007年第6期445-448,共4页
Journal of Neuroscience and Mental Health
