中国临床康复
中國臨床康複
중국림상강복
CHINESE JOURNAL OF CLINICAL REHABILITATION
2004年
25期
5388-5390
,共3页
痴呆/流行病学%阿尔茨海默病%脑积水
癡呆/流行病學%阿爾茨海默病%腦積水
치태/류행병학%아이자해묵병%뇌적수
背景:目前国内对可康复性痴呆的流行病学研究和报道较少.目的:研究可康复性痴呆的流行病学特点.设计:以诊断为依据的临床回顾性随访研究.地点和对象:1994-03/2003-04对陕西省纺织医院神经内科门诊患者254例进行追踪随访.干预:通过回顾,分析可康复性痴呆的流行病学特点.根据不同患者的情况采用不同的治疗措施.主要观察指标:临床症状和体征、认知能力和智能测试,多项实验室的检查,头颅CT扫描或磁共振成像.结果:在门诊254例患者中,符合DSM-Ⅳ痴呆的诊断标准115例,其中最多的是阿尔茨海默病69例(占60%).对10例可康复性痴呆(占8.7%)的观察,脑积水(4例)和神经性梅毒(2例)是常见的病因.完全康复的有2例患者,部分康复的3例,2例未治,3例失去随访.结论:可康复性痴呆患者约占8.7%和文献报道的0～30%相一致,病因的研究对可康复痴呆治疗有重要意义.
揹景:目前國內對可康複性癡呆的流行病學研究和報道較少.目的:研究可康複性癡呆的流行病學特點.設計:以診斷為依據的臨床迴顧性隨訪研究.地點和對象:1994-03/2003-04對陝西省紡織醫院神經內科門診患者254例進行追蹤隨訪.榦預:通過迴顧,分析可康複性癡呆的流行病學特點.根據不同患者的情況採用不同的治療措施.主要觀察指標:臨床癥狀和體徵、認知能力和智能測試,多項實驗室的檢查,頭顱CT掃描或磁共振成像.結果:在門診254例患者中,符閤DSM-Ⅳ癡呆的診斷標準115例,其中最多的是阿爾茨海默病69例(佔60%).對10例可康複性癡呆(佔8.7%)的觀察,腦積水(4例)和神經性梅毒(2例)是常見的病因.完全康複的有2例患者,部分康複的3例,2例未治,3例失去隨訪.結論:可康複性癡呆患者約佔8.7%和文獻報道的0～30%相一緻,病因的研究對可康複癡呆治療有重要意義.
배경:목전국내대가강복성치태적류행병학연구화보도교소.목적:연구가강복성치태적류행병학특점.설계:이진단위의거적림상회고성수방연구.지점화대상:1994-03/2003-04대합서성방직의원신경내과문진환자254례진행추종수방.간예:통과회고,분석가강복성치태적류행병학특점.근거불동환자적정황채용불동적치료조시.주요관찰지표:림상증상화체정、인지능력화지능측시,다항실험실적검사,두로CT소묘혹자공진성상.결과:재문진254례환자중,부합DSM-Ⅳ치태적진단표준115례,기중최다적시아이자해묵병69례(점60%).대10례가강복성치태(점8.7%)적관찰,뇌적수(4례)화신경성매독(2례)시상견적병인.완전강복적유2례환자,부분강복적3례,2례미치,3례실거수방.결론:가강복성치태환자약점8.7%화문헌보도적0～30%상일치,병인적연구대가강복치태치료유중요의의.
BACKGROUND: There are few studies and reports on the prevalence ofreversible dementias.OBJECTIVE: To determine the epidemiological characteristics of reversibledementias.DESIGN: Clinical retrospective study based on diagnosis.SETTING and PARTICIPANTS: A total of 254 outpatients were seen in the Department of Neurology, Shaanxi Provincial Textile Hospital, from March1994 to April 2003 and their progressions were observed in follow-up.INTERVENTIONS: Different treating measures for different illnesses andanalysis of epidemiological characteristics of reversible dementias were car-ried out.MAIN OUTCOME MEASURES: Clinical evaluation and physical/neuro-logical examination, cognitive evaluation and brain CT/MRI.RESULTS: Among the initial 254 patients, 115 were up to the DSM-Ⅳ criteria for dementia of them. Alzheimer' s disease was the most frequent diagnosis(69 cases; 60% ) . Ten cases(8.7% ) of potentially-reversible dementia were observed, the most frequent diagnoses being hydrocephalus(4 cases) and neurosyphilis(2 cases), which were the common cause of dementia. Full rehabilitation was observed in two patients and partial rehabilitation in 3 patients. Two cases were not treated and 3 cases were lost in follow-up.CONCLUSION: The prevalence of rehabilitating dementias(8.7% ) falls within the range reported in the literatures(0 -30% ), showing that studies on the etiological factor are important for the treatment of rehabilitating dementias.
