A STUDY TO SERCH ENVIRONMENTAL (LIFE) FACTORS TO FALL SENILE DEMENTIA AND TO ESTABLISH SOCIAL SUPORT SYSTEM IN SOME MODEL DISTRICTS

65岁以上人群老年痴呆患病率为3.8<正负bb0 0.4%。根据精神科医生参与的调查，岐阜市的患病率为4.2±0.5%。女性患者多于男性患者，但性别差异无统计学意义。老年患者，尤其是75岁以上女性患者所占比例呈上升趋势。老年痴呆的病因以未知老年痴呆和心脑血管疾病为主，男性以未知老年痴呆为主，女性以未知老年痴呆为主。患者组的因素（有统计学上高优势比）为心血管疾病的遗忘、下肢和手臂疾病的后遗症或失语，以及痴呆发生前的性格（害羞、多情、粘人、意志薄弱）。患者组环境因素为：无朋友、无说话、无爱好、学业水平低、酗酒（3杯/天以上）、吸烟重（20支/天以上）、未参加体检、无健康活动、生活剧变（迁居、亲属死亡、住院）。对岐阜市99个乡镇的医疗设施、福利设施或卫生人力进行了调查。认为医疗设施或福利设施应合理安排在二级区（包括若干保健中心区），而不是安排在每个乡镇。卫生人力不仅要驻扎在地区人口的比例上，而且要驻扎在地区面积的比例上。对包括老年痴呆患者在内的老年人，应采取合理的设施安排、合理的卫生人力配置、建立健康活动-医疗-福利网络体系等对策。为了强调预防疾病，要求在疗养胜地建立各种治疗设施，特别是自然疗法或顺势疗法。少

The prevalence of senile dementia inGifu population over 65 years of age was 3.8<plus-minus>0.4%. According to the survey haven any share in by mental doctors, the prevalence in Gifu was 4.2<plus-minus>0.5%. The number of female patients was more than male patients, but there was no statistically siginificant difference in gender. The proportion of aging patients, especially female patients over 75 years of age, was increasing. The causes of senile dementia were unknown senile dementia and cardiovasular disorder, but cardiovasular disorder dominated unknown senile dementia in male and unknown senile dementia dominated cardiovascular disorder in femHost factors (statistically high Odds ratio) in the patient group were anamnesis of cardiovascular disease, sequelae of disorders in the legs and arms or aphasia, and the charactors before occurrence of dementia (shy, passion, sticly, weak will). Environmental factors in patient group were no friend, no speak, no hobby, low school career, hea … More vy drinking (over 3 GOU/day), heavy smoking (ovre 20 pieces/day), no health examinee, no health activity and sudden change of life (new adress, death of relations, and inpatient).The investigation on medical facilities, welfare facilities or health man power was carried in 99 city-town-villege in Gifu. It is considered that medical facilities or welfare facilities should be arranged reasonablly in the secondary districts (including several health center districts), rather t han arranging in each town-village. Health man power should be stationed not only in the proportion of district population, but also in the proportion of the district area.It is important that countermeasures to the old people including patients with senile dementia should be taken to cope with reseonable arrangement of facilities, desirable disposition of health man power and establishment of network system of healthy activity-medical cure-welfare. With emphasis to prevent diseases, it is reqested that facilities with various therapies, especially naturopathy or homeopathy, are established in health resort. Less