《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (03): 220-221.

• 专题 脑梗死康复 • 上一篇    下一篇

老年痴呆患者并发脑梗死所致谵妄40例临床特征分析

段新1a; 麦以成1a; 吴海珊1b; 李耀东1b; 卢嬿1b; 马光瑜2   

  1. 1.顺德区伍仲纪念医院a.老年科;b.心理科,广东佛山市 528333;2.广东省食品药品监督管理局,广东广州市 510080
  • 收稿日期:2006-12-11 出版日期:2007-03-01 发布日期:2007-03-01

Characteristics of Delirium after Cerebral Infarction in Elderly Demented Patients:40 Cases Report

DUAN Xin, MAI Yi-cheng,WU Hai-shan, et al   

  1. Department of Geriatrics, Shunde District Wuzhongpei Memorial Hospital, Foshan 528333, Guangdong,China
  • Received:2006-12-11 Published:2007-03-01 Online:2007-03-01

PDF (PC)

被引次数

6

摘要： 目的分析老年痴呆患者新发生脑梗死所致谵妄的临床特征。方法利用谵妄量表(DSS)、中文版简易智能精神状态检查表(MMSE)对40例老年痴呆患者新发生脑梗死所致谵妄及谵妄消失后进行测评。结果谵妄发生时,DSS测评主要症状依次为睡眠-觉醒周期紊乱、行为变化出现的速度、思维障碍、定向力障碍、对环境的错觉。谵妄消失时,睡眠-觉醒周期紊乱、行为变化出现的速度两项恢复最好;定向力障碍、对环境的错觉两项恢复最差。谵妄发生时MMSE评分较低的依次为注意力和计算力、回忆能力、时间定向、三步命令。谵妄消失时以语言能力恢复最好,其中以三步命令改善幅度最大;回忆能力恢复最差,其次为注意力、计算力、时间定向力。结论对痴呆合并谵妄临床特点分析,有利于对谵妄、痴呆的鉴别及诊断,提高对这两种认知功能障碍的理解。

关键词: 老年人, 痴呆, 脑梗死, 谵妄

Abstract: Objective To investigate the characteristics of delirium after cerebral infarction in elderly demented patients.Methods40 elderly demented patients with delirium after cerebral infarction were assessed with delirium score scale(DSS),mini-mental state examination (MMSE) during delirium and after delirium disappeared respectively.ResultsThe prominent symptoms from DSS as delirium were disturbance in sleep-awake cycle,speed of onset of behavior change,incoherent thought process,abnormalities of orientation,and misinterpretation of surroundings.The disturbance of sleep-awake cycle and speed of onset of behavior change recovered dramatically as delirium disappeared,however,the abnormalities of orientation and misinterpretation of surroundings mildly improved.The items with lower scores from MMSE as delirium were abilities of attention and calculation,abilities of recall,time disorientation,and three step language orders.The function of language from the items of MMSE improved very well as delirium disappeared,especially the three step language orders,however,the abilities of recall,abilities of attention and calculation,time disorientation mildly improved.ConclusionDetermination of the clinical features of delirium following dementia is helpful to distinguish the delirium from dementia.

Key words: elder, dementia, cerebral infarction, delirium