中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2013年
7期
58-59
,共2页
抑郁症状%阿尔茨海默病%临床特征
抑鬱癥狀%阿爾茨海默病%臨床特徵
억욱증상%아이자해묵병%림상특정
Symptoms of depression%Alzheimer's disease%Clinical features
目的：分析以抑郁症状为首发的阿尔茨海默病临床特征。方法：选择我院从2011年1月～2012年1月收治的阿尔茨海默病患者72例，其中36例以抑郁症状为首发的患者作为研究组，另外36例不以抑郁症状为首发的患者作为对照组，对于2组患者的各项情况以及精神症状进行对比分析。结果：研究组的抑郁症状、病前心理因素要明显高于对照组，研究组的人格改变、行为障碍发生率要明显低于对照组，差异均有统计学意义（ P＜0．05）。结论：阿尔茨海默病患者的被动和退缩行为人格和情感症状常于痴呆病程的早期出现，同时伴有心理社会因素的患者会具有较为严重的抑郁情况，该类以抑郁症状为首发的阿尔茨海默病患者在进行诊断的过程中极易出现被误诊的情况，所以对于该类患者进行长期随访具有重要意义，可以使患者早期就得到有效治疗，使得病情发展得到延缓，同时也可极大提高患者日常生活质量。
目的：分析以抑鬱癥狀為首髮的阿爾茨海默病臨床特徵。方法：選擇我院從2011年1月～2012年1月收治的阿爾茨海默病患者72例，其中36例以抑鬱癥狀為首髮的患者作為研究組，另外36例不以抑鬱癥狀為首髮的患者作為對照組，對于2組患者的各項情況以及精神癥狀進行對比分析。結果：研究組的抑鬱癥狀、病前心理因素要明顯高于對照組，研究組的人格改變、行為障礙髮生率要明顯低于對照組，差異均有統計學意義（ P＜0．05）。結論：阿爾茨海默病患者的被動和退縮行為人格和情感癥狀常于癡呆病程的早期齣現，同時伴有心理社會因素的患者會具有較為嚴重的抑鬱情況，該類以抑鬱癥狀為首髮的阿爾茨海默病患者在進行診斷的過程中極易齣現被誤診的情況，所以對于該類患者進行長期隨訪具有重要意義，可以使患者早期就得到有效治療，使得病情髮展得到延緩，同時也可極大提高患者日常生活質量。
목적：분석이억욱증상위수발적아이자해묵병림상특정。방법：선택아원종2011년1월～2012년1월수치적아이자해묵병환자72례，기중36례이억욱증상위수발적환자작위연구조，령외36례불이억욱증상위수발적환자작위대조조，대우2조환자적각항정황이급정신증상진행대비분석。결과：연구조적억욱증상、병전심리인소요명현고우대조조，연구조적인격개변、행위장애발생솔요명현저우대조조，차이균유통계학의의（ P＜0．05）。결론：아이자해묵병환자적피동화퇴축행위인격화정감증상상우치태병정적조기출현，동시반유심리사회인소적환자회구유교위엄중적억욱정황，해류이억욱증상위수발적아이자해묵병환자재진행진단적과정중겁역출현피오진적정황，소이대우해류환자진행장기수방구유중요의의，가이사환자조기취득도유효치료，사득병정발전득도연완，동시야가겁대제고환자일상생활질량。
Objective:To analyze the clinical features of Alzheimer's disease symptoms of depression for the first .Methods:in our hospital from 2011 January to 2012 January, 72 cases of hospitalized patients with Alzheimer's disease, in which 36 patients with de-pressive symptoms as initial as study group, another 36 cases without depressive symptoms for first -episode patients as control group, were analyzed for the two groups of patients and psychiatric symptoms .Results:the disease symptoms of depression , the study group of psychological factors, morbidity was higher than that of control group , the study group personality change, behavior disorder rate was significantly lower than that of the control group, the difference was statistically significant (P<0.05).Conclusion:passive and with-drawal behavior personality and affective symptoms in patients with Alzheimer's disease often appear in early duration of dementia, with social and psychological factors have more severe depressive symptoms , such as depression symptoms as the first symptom in patients with Alzheimer's disease in the process of diagnosis is prone to be misdiagnosed , so for this kind of patients with long-term follow-up, which is important, can make patients early treatment, the progression of the disease slowed down, but also can greatly improve the quality of life in patients.
