, Chaoyang District, Changchun City, The Elderly Vascular Mild Cognitive Dysfunction, The Influencing Factors And Syndromes The Distribution Of Epidemiological Investigations

Purpose :Survey Changchun City elderly population with vascular mild cognitive impairment prevalence rate, prevalence of risk factors analysis of VCI, the scope of the study to promote to the community, families, in order to be revised and improved patient self-recognition system, the medical profession screening system, and to promote the application of traditional Chinese medicine integrated intervention programs, to pay attention to the characteristics and advantages of traditional Chinese medicine for the early detection of senile dementia, early diagnosis and early intervention provide an important basis.Methods :To take three screening method, by trained physicians, using by-one access method, a sample survey of urban and rural elderly people aged 55 and over 1275 cases of complete demographic data, the use of the Montreal Cognitive Assessment Scale (MoCA), mini-mental mental state examination (MMSE), clinical rating scale, ADL scale ADL, Clinical Dementia Rating Scale CDR, Hamilton Depression Rating Scale HAMD17, the core symptoms observed table, peripheral symptoms, tongue, pulse observation of the table screening and, ultimately, to meet the requirements of the three levels of the target population. (A target population:≥55 years of age, there is vasogenic factors or cognitive impairment chief complaint; two target groups:≥55 years of age, blood vessel-derived factors, + mild cognitive impairment; three target groups,≥55 years of age, brain Leukoaraiosis + mild cognitive impairment, phlegm and blood stasis syndrome kidney deficiency type). SPSS12.0 statistical software used for statistical processing, count data using X2 test statistics to handle P = 0.05 for the test, part of the calculation of composition ratio of count data.Results :Epidemiological survey found that 1275 cases of 55 years of age or older, the acquisition of a target population 385 cases, accounting for 30.2% of the total number of secondary target group 73 cases, accounting for 5.7% of the total number, 18 cases of three target groups, , accounting for 1.2% of the total number, in which men ,65-75 age group, secondary schools the following level, the higher prevalence of manual workers, is the impact of cognitive impairment in old age factors; cerebrovascular disease, hypertension, diabetes mellitus , hyperlipidemia, coronary heart disease is cognitive impairment in the elderly an important risk factor, smoking (drinking) is higher than the prevalence of those who never smoked (drinking) persons; like eating, and eating salty spicy higher incidence; with cerebrovascular disease, coronary heart disease, hypertension, diabetes, family history, but also the impact of cognitive impairment in elderly people factors; kidney marrow reduced, phlegm Mongolia awakened, blood stasis is most prevalent resistance , and have a wider impact on the cognitive impairment is mild cognitive impairment in the performance of the main syndromes.Conclusion: By the target population survey found that over 55 elderly population, to chief complaint of cognitive dysfunction were 321 people, accounting for 25.2% of the total number, Changchun City overall level of cognitive function in elderly people in the normal range. This study was a survey on the prevalence of VCI analysis, suggesting that VCI help identify high risk of dementia, the VCI effective intervention can delay the development of dementia. Institute selected neuropsychological scale has good sensitivity and acceptance, you can choose to reflect the calculation power, delay memory and spatial structure of capabilities related to scale, in both parts of MOCA scale scores as the basis, with informants Questionnaire can more objectively reflect the cognitive impairment, to facilitate the clinical use, combined with each other application can make up for each other's lack of a comprehensive response to wide range of cognitive impairment, increase early diagnosis of VCI validity and breadth. TCM clinical screening results reflect VCI of the most common syndromes in Chinese medicine, Chinese medicine for the better conduct of the clinical intervention to provide a solid foundation.