CAJ | 학술논문

目的认识门诊老年人神经疾病的常见病因构成情况.方法从解放军总医院数据管理系统(PRIDE)提取2009年7月1日至2012年6月30日老年神经门诊有脑MRI或CT检查结果的60岁及以上年龄病例的相关信息,分析神经系统常见疾病构成比以及不同年龄段老年人的神经疾病构成的特征.结果共入选我院老年神经门诊有脑MRI或CT等影像学资料的60岁及以上老年人病例1 188例,其中脑血管疾病占22.39％,轻度认知功能障碍及痴呆占15.99％,包括帕金森病、帕金森综合征及老年良性震颤的运动障碍疾病占9.09％,睡眠疾病占6.73％,精神心理疾病占6.65％,伴有神经系统症状的颈、腰椎病占10.52％.与60～69岁、70～79岁年龄组病因构成比不同,轻度认知功能障碍及痴呆、帕金森病是80岁及以上高龄和超高龄组神经疾病的主要病因.结论脑血管疾病、轻度认知功能障碍及痴呆、帕金森病等构成门诊老年人主要神经疾病,这些疾病应该成为老年神经疾病防治的重点.
목적 인식문진노년인신경질병적상견병인구성정황.방법 종해방군총의원수거관리계통(PRIDE)제취2009년7월1일지2012년6월30일노년신경문진유뇌MRI혹CT검사결과적60세급이상년령병례적상관신식,분석신경계통상견질병구성비이급불동년령단노년인적신경질병구성적특정.결과 공입선아원노년신경문진유뇌MRI혹CT등영상학자료적60세급이상노년인병례1 188례,기중뇌혈관질병점22.39％,경도인지공능장애급치태점15.99％,포괄파금삼병、파금삼종합정급노년량성진전적운동장애질병점9.09％,수면질병점6.73％,정신심리질병점6.65％,반유신경계통증상적경、요추병점10.52％.여60～69세、70～79세년령조병인구성비불동,경도인지공능장애급치태、파금삼병시80세급이상고령화초고령조신경질병적주요병인.결론 뇌혈관질병、경도인지공능장애급치태、파금삼병등구성문진노년인주요신경질병,저사질병응해성위노년신경질병방치적중점.
Objective To investigate the etiology of neurological disorders in elderly at outpatient clinic.Methods Elderly patients aged 60 years old or more who visited the geriatric neurological outpatient clinic of PLA General Hospital from July 1,2009 to June 30,2012 and underwent the brain MRI or CT imaging were retrospectively analyzed.The constituent ratio of common neurological disorders in all patients and patients from different age groups were statistically analyzed based on the information from PRIDE data management system.Results A total of 1 188 patients were enrolled in this study with well documented record of complaint examination of the nerve system and brain MRI or CT imaging.Common neurological disorders in those patients were cerebrovascular disease(22.39％),mild cognitive impairment and dementia (15.99％),movement disorders including Parkinson disease,Parkinsonism and essential tremor(9.09％),sleep disorders (6.73 ％) and psychological diseases (6.65 ％).Spinal degenerative diseases accompanied by neurological symptoms also accounted for 10.52％.Less common causes in those patients were benign paroxysmal positioning vertigo (3.96％),headache and neck pain (3.28％),cranial nerve diseases (2.78％) and intracranial tumors (2.61％).Constituent ratios of mild cognitive impairment and dementia in different age groups were associated with aging,and the same was observed with Parkinson disease.Conclusion The common neurological disorders in the geriatric outpatients are cerebrovascular disease and neurodegenerative diseases including different type of dementia and Parkinson disease.Those disorders should be focused for the prevention and treatment of the nervous system diseases in the elderly.