Jorm A F
NH & MRC Social Psychiatry Research Unit, Australian National University, Canberra.
Eur Arch Psychiatry Clin Neurosci. 1991;240(4-5):218-22. doi: 10.1007/BF02189530.
The relative occurrence of Alzheimer's and vascular dementias is examined in various countries using data of four types: incidence, prevalence, clinic and neuropathological studies. There is clear evidence that Alzheimer's dementia is more common than vascular dementia in Great Britain and North America and, to a lesser extent, in Scandinavia. The evidence from other countries with predominantly Caucasian populations is more limited, but also supports a predominance of Alzheimer's dementia. By contrast, the evidence from Japan generally shows that vascular dementia is more common. The more limited evidence available from China also supports a preponderance of vascular dementia. There is a need for studies directly comparing the occurrence of Alzheimer's dementia in Caucasian and Oriental populations.
利用发病率、患病率、临床和神经病理学研究这四类数据，对不同国家阿尔茨海默病和血管性痴呆的相对发生率进行了研究。有明确证据表明，在英国和北美，阿尔茨海默病性痴呆比血管性痴呆更为常见，在斯堪的纳维亚半岛程度稍轻。来自其他以白种人为主的国家的证据较为有限，但也支持阿尔茨海默病性痴呆占主导地位。相比之下，来自日本的证据总体表明血管性痴呆更为常见。来自中国的更有限的证据也支持血管性痴呆占优势。需要进行直接比较白种人和东方人群中阿尔茨海默病性痴呆发生率的研究。
