Font Size: a A A

Community Survey Of Gerontic Cognitive Status And Research On TCM Syndrome Type Distribution Of Mild Cognitive Impairment

Posted on:2012-04-04Degree:MasterType:Thesis
Country:ChinaCandidate:W X FengFull Text:PDF
GTID:2154330338452381Subject:Chinese medical science
Abstract/Summary:PDF Full Text Request
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 quantitatively, summarizes the most often witness type. In order to guarantee the quality in design, respectively, investigation, investigation, input stage taken quality monitoring measures, the maximum guarantee the accuracy of the results.Results: 1. This investigation of the 600 jinan community in 60 - 80, average age for between 70.31±6.23; an average score for MMSE 23.92±5.07 ,an average score for MoCA 18.16±6.25.Cognitive normal community elderly of the total 13.8%, mild cognitive impairment of the total number of community elderly people in dicates, severe, 57.7% of cognitive dysfunction total community elderly the 28.5%. The old people surveyed for married, cultural degree most elementary school and middle school in the majority, innovation and 44.0% respectively; Personality traits, which accounts for the majority of peace for 75.8% psychotic, followed by irritability accounted for 15.2%; Bad habits, drinkers in smokers was of 17.7 percent of men smoking drinkers proportion than women; Most people participate in regular exercise. The existing financial burdens vascular diseases, elderly, accounting for hypertension incidence, second highest for coronary heart disease, 58.0% of 39.8%, the rest of the press from high to low incidence order diabetes, cerebrovascular diseases, hyperlipidemia, peripheral vascular disease, TIA.On the analysis of old age mild cognitive impairment in risk factors, based on comprehensive analysis of selected for gender, age, education level, vascular source factors, bad habits and its movement by factors such as the chi-square test, and found, age, education, sports and vascular source factors are P < 0.05, value with statistical significance.2. This research will vasogenic mild cognitive dysfunction concluded to kidney essence deficiency, sputum turbidity resistance qiao, blood stasis resistance winding, liver Yang hyperactivity, hot ZhiZhuo bowls, heart-sweetening within leave, qixue deficiency seven basic card type on syndrome differentiation and analysis. The survey found the kidney essence deficiency syndrome patients in the majority, the total cases 42.0%. Second is phlegmy turbidity resistance qiao certificate, blood stasis resistance winding card, accounted for according to 19.2 and 17.7%, the rest from high to low incidence order of sequence is blood deficiency syndrome, liver Yang hyperactivity card, ZhiZhuo leave certificate, fervent astringing bowls card within.conclusion:Through the studies have found that people with mild cognitive dysfunction of the elderly of the elderly in community, a significant proportion of vascular risk factors for the main factors in the kidney essence, card type deficiency, sputum turbidity resistance qiao, blood stasis resistance is common, for improving treasure-the elderly life quality, reduce family, for mild cognitive impairment is worth further study.
Keywords/Search Tags:Cognitive status, Community screening, Syndromes analysis
PDF Full Text Request
Related items