摘要
目的:探讨老年痴呆患者心理行为症状(BPSD)的发生率、临床特征和采取的干预治疗手段。方法:按照DSM-Ⅳ的痴呆诊断标准,用Hachinski缺血指数量表(HIS)评分,对痴呆进行分型,根据和患者的会谈及行为的观察确认是否存在BPSD。结果:本文103例老年痴呆患者BPSD总发生率为66.0%,其中AD占80.4%,VD占40.0%,混合型占62.9%。AD与VD之间有非常显著性差别(P<0.01),VD与混合型之间有显著性差别(P<0.05)。BPSD临床特征的分析:心理症状以失眠、抑郁情绪、身份识别障碍最常见;行为症状主要发生在AD型患者中,以漫游或无目的徘徊最多见。结论:痴呆的BPSD是危害患者本人、影响家庭和社会的一个重大难题,采用及时干预治疗和恰当的照料管理,对早期正确诊断及提高患者的生活质量是非常重要的。
Objective： To research occurrence rate of behavioral psychological symptoms of dementia （BPSD）, clinical features and intervention treatment of the senile dementia. Methods： The Hachinski test was applied to minute of senile dementia according to the clinical diagnosis standard of senile dementia of DSM - Ⅳ, Results： The total occurrence rate of BPSD was 66.0% in 103 patients, of 66.0% AD was 80.4%, 40.0% VD, 62.9% mix. There was a significant difference（P 〈0.01 between AD and VD; and there was difference between VD and the mix （P 〈0.05. The psychological symptom by loses sleep、the despondent mood the and status recognition harder was the most common feature of BPSD. The more behavior symptoms could occur in the AD patients such as roams and/or pace back. Conclusion： It is a great difficult that BPSD of senile dementia harmed the patient,family and society. Early diagnosis and interventional treatment is important for patients with senile dementia, so it can improve the patients＇ living quality.
出处
《青海医药杂志》
2006年第6期10-12,共3页
Qinghai Medical Journal
