中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
13期
37-39
,共3页
韩学青%张燕波%牛雅娟%许天红
韓學青%張燕波%牛雅娟%許天紅
한학청%장연파%우아연%허천홍
谵妄%老年人
譫妄%老年人
섬망%노년인
Delirium%Elderly
目的 分析老年谵妄患者在综合医院会诊中的特点.方法 对明确诊断为谵妄的102例患者,与同期会诊的老年患者进行比较,并对谵妄患者的临床特点进行分析.结果 谵妄组患者的平均年龄高于对照组,差异有统计学意义(t=4.84,P＜0.05).谵妄组患者在手术或创伤后、多器官衰竭方面比例高于对照组(23.5％vs9.3％,51.0％ vs 17.3％),上述差异有统计学意义(x2=3.53,6.21,P＜0.05).谵妄组患者会诊的首要原因在行为异常和认知障碍方面较对照组明显(38.2％ vs 9.4％,35.1％ vs 11.6％),差异有统计学意义(x2=5.13,2.57,P＜0.05).谵妄患者临床表现:意识障碍,定向障碍,幻觉,注意障碍,记忆障碍等.误诊23例(22.6％).谵妄患者中73例(71.6％)应用抗精神病药物治疗.结论 应加强对老年谵妄临床特征的认识,争取做到早发现早治疗.
目的 分析老年譫妄患者在綜閤醫院會診中的特點.方法 對明確診斷為譫妄的102例患者,與同期會診的老年患者進行比較,併對譫妄患者的臨床特點進行分析.結果 譫妄組患者的平均年齡高于對照組,差異有統計學意義(t=4.84,P＜0.05).譫妄組患者在手術或創傷後、多器官衰竭方麵比例高于對照組(23.5％vs9.3％,51.0％ vs 17.3％),上述差異有統計學意義(x2=3.53,6.21,P＜0.05).譫妄組患者會診的首要原因在行為異常和認知障礙方麵較對照組明顯(38.2％ vs 9.4％,35.1％ vs 11.6％),差異有統計學意義(x2=5.13,2.57,P＜0.05).譫妄患者臨床錶現:意識障礙,定嚮障礙,幻覺,註意障礙,記憶障礙等.誤診23例(22.6％).譫妄患者中73例(71.6％)應用抗精神病藥物治療.結論 應加彊對老年譫妄臨床特徵的認識,爭取做到早髮現早治療.
목적 분석노년섬망환자재종합의원회진중적특점.방법 대명학진단위섬망적102례환자,여동기회진적노년환자진행비교,병대섬망환자적림상특점진행분석.결과 섬망조환자적평균년령고우대조조,차이유통계학의의(t=4.84,P＜0.05).섬망조환자재수술혹창상후、다기관쇠갈방면비례고우대조조(23.5％vs9.3％,51.0％ vs 17.3％),상술차이유통계학의의(x2=3.53,6.21,P＜0.05).섬망조환자회진적수요원인재행위이상화인지장애방면교대조조명현(38.2％ vs 9.4％,35.1％ vs 11.6％),차이유통계학의의(x2=5.13,2.57,P＜0.05).섬망환자림상표현:의식장애,정향장애,환각,주의장애,기억장애등.오진23례(22.6％).섬망환자중73례(71.6％)응용항정신병약물치료.결론 응가강대노년섬망림상특정적인식,쟁취주도조발현조치료.
Objective To analyze the characteristics of elderly patients with delirium in the general hospital consultation.Methods One hundred and two elderly patients with delirium were compared with elderly patients in the same period in consultation,and the clinical characteristics of delirium was analyzed.Results The average age of delirium group was higher than that of the control group,and the difference was statistically significant(t =4.84,P ＜ 0.05).The rate of delirium patients suffering from surgery or trauma,multiple organ failure were higher than those of control group(23.5％ vs 9.3％,51.0％ vs 17.3％),the difference was statistically significant (P ＜0.05).The delirium group patients consultation leading cause was behavioral abnormalities and cognitrve impairment,compared with the control group(38.2％ vs 9.4％,31.4％ vs 3.2％),the difference was statistically significant(P ＜0.05).The clinical manifestations of patients with delirium:disturbance of consciousness,disorientation,hallucinations,attention disorders,memory disorders etc.The misdiagnosed were 23 cases(22.6％).Seventy-three cases(71.6％) of delirium were given antipsychotic treatment.Conclusions We should enhance the understanding of the clinical features of senile delirium,and strive for the early detection and early treatment.
