日本养老院中阿尔茨海默病型痴呆症和血管性痴呆症的相对发病率。

Relative frequencies of dementia of the Alzheimer type and vascular dementia in Japanese nursing homes.

作者信息

Ishino H, Seno H, Inagaki T, Naora C, Iijima M, Tanaka O, Yamori Y, Horie R

机构信息

Department of Psychiatry, Shimane Medical University, Izumo, Japan.

出版信息

Jpn J Psychiatry Neurol. 1990 Sep;44(3):551-6. doi: 10.1111/j.1440-1819.1990.tb01628.x.

DOI:10.1111/j.1440-1819.1990.tb01628.x

PMID:2074614

Abstract

We have studied neuropathologically 200 aged nursing home residents (101 men and 99 women) autopsied between 1976 and 1985. Seventy-three of the 200 showed dementia during life, that is, 27% and 55% of the residents in nursing homes and special nursing homes, respectively. The relative frequencies of SDAT and VD in nursing homes as a whole were the same (34%). The relative frequencies of SDAT and VD in special nursing homes, where usually high concentrations of VD have been noted, were 21% and 52%, respectively. A comparison of the results of our special nursing homes (SDAT:VD = 1:2.5) and nursing homes as a whole (SDAT:VD = 1:1) with those of Barnes and Raskind (SDAT:VD = 2:1) and Rovner et al. (SDAT:VD = 3:1) showed that the frequencies of VD in Japanese nursing homes are considerably higher than those in their American counterparts.

摘要

我们对1976年至1985年间接受尸检的200名老年疗养院居民（101名男性和99名女性）进行了神经病理学研究。200名居民中有73人在生前患有痴呆症，即在疗养院和特殊护理院的居民中分别占27%和55%。整个疗养院中SDAT（阿尔茨海默病性痴呆）和VD（血管性痴呆）的相对频率相同（34%）。在通常注意到VD（血管性痴呆）高发病率的特殊护理院中，SDAT（阿尔茨海默病性痴呆）和VD（血管性痴呆）的相对频率分别为21%和52%。将我们特殊护理院（SDAT:VD = 1:2.5）和整个疗养院（SDAT:VD = 1:1）的结果与Barnes和Raskind（SDAT:VD = 2:1）以及Rovner等人（SDAT:VD = 3:1）的结果进行比较，发现日本疗养院中VD（血管性痴呆）的发病率明显高于美国疗养院。