CAJ | 학술논문

目的：探讨佛山市神经内科痴呆患者严重程度危险因素及预防方案。方法选取2013年1月至2014年2月我市各个医院神经内科收治220例痴呆患者为研究对象，按照痴呆严重程度分为轻、中、重度三组，分析三组患者性别、年龄、文化程度、婚姻状况、经济状况及相关疾病情况，探讨影响患者痴呆严重程度相关危险因素，并提出预防措施。结果随着痴呆程度增高，女性患者、年龄大患者、文化程度低患者、有脑卒中、脑外伤及颅内感染史患者占有比例越高，三组间各值比较有统计学意义（ P＜0．05）；性别、年龄、文化程度、脑卒中、脑外伤及颅内感染为痴呆发生危险因素。结论性别、年龄、文化程度、脑卒中、脑外伤及颅内感染为痴呆发生及加重危险因素，临床应有针对性控制危险因素，以降低痴呆发生、延缓痴呆病情加重。
목적：탐토불산시신경내과치태환자엄중정도위험인소급예방방안。방법선취2013년1월지2014년2월아시각개의원신경내과수치220례치태환자위연구대상，안조치태엄중정도분위경、중、중도삼조，분석삼조환자성별、년령、문화정도、혼인상황、경제상황급상관질병정황，탐토영향환자치태엄중정도상관위험인소，병제출예방조시。결과수착치태정도증고，녀성환자、년령대환자、문화정도저환자、유뇌졸중、뇌외상급로내감염사환자점유비례월고，삼조간각치비교유통계학의의（ P＜0．05）；성별、년령、문화정도、뇌졸중、뇌외상급로내감염위치태발생위험인소。결론성별、년령、문화정도、뇌졸중、뇌외상급로내감염위치태발생급가중위험인소，림상응유침대성공제위험인소，이강저치태발생、연완치태병정가중。
Objective We were going to explore the order of severity and risk factors and prevention scheme for dementiapatients in department of neurology in Foshan. Methods From January2013 to February2014, 220 cases of dementia patientsadmitted to the department of neurologyin hospitals in our city were chose as the research object, according to the severity of dementia they were divided into three groups including mild, middle and severe group.Analyzedthe sex, age, culture degree, marriage status, economic status and related disease, and analyzed the related risk factors which affecting severity of dementiaand put forward the prevention measures.Results With the degree of dementia increased, the percentage of female patients, older patients, patients with low cultural level, stroke, traumatic brain injury and patientswith a history ofintracranial infectionincreased, the differencesamong the three groups were statistically significant (P<0.05).Gender, age, culture degree, stroke, traumatic brain injury and intracranial infection were risk factors for dementia. Conclusions Gender, age, culture degree, stroke, traumatic brain injury and intracranial infection were risk factorsfor dementia.Clinician should be target on controlling risk factors, in order to reduce the occurrence of dementia and delay the development of dementia illness.