CAJ | 학술논문

目的：探究老年痴呆患者并发脑梗死所致谵妄的临床特征分析。方法选取我院2012年4月至2013年8月在我院住院并接受治疗的老年痴呆患者并发脑梗死所致谵妄的患者32例，将32例老年痴呆患者谵妄前与谵妄后进行比较。利用谵妄量表(DSS)、中文版简易智能精神状态检查表(MMSE)对32例老年痴呆患者并发脑梗死所致谵妄及谵妄消失后进行测评。结果 DSS测评谵妄消失时，睡眠-觉醒周期紊乱、行为变化出现的速度两项恢复最好，定向力障碍、对环境的错觉两项恢复最差。MMSE评分谵妄消失时以语言能力恢复最好，回忆能力恢复最差。结论对老年痴呆患者并发脑梗死所致谵妄的临床特点分析有利于临床上鉴别单纯性老年痴呆病和老年痴呆患者并发脑梗死所致谵妄，对临床研究有重大意义。
목적：탐구노년치태환자병발뇌경사소치섬망적림상특정분석。방법선취아원2012년4월지2013년8월재아원주원병접수치료적노년치태환자병발뇌경사소치섬망적환자32례，장32례노년치태환자섬망전여섬망후진행비교。이용섬망량표(DSS)、중문판간역지능정신상태검사표(MMSE)대32례노년치태환자병발뇌경사소치섬망급섬망소실후진행측평。결과 DSS측평섬망소실시，수면-각성주기문란、행위변화출현적속도량항회복최호，정향력장애、대배경적착각량항회복최차。MMSE평분섬망소실시이어언능력회복최호，회억능력회복최차。결론대노년치태환자병발뇌경사소치섬망적림상특점분석유리우림상상감별단순성노년치태병화노년치태환자병발뇌경사소치섬망，대림상연구유중대의의。
Objective To explore alzheimer's patients complicated with cerebral infarction caused by clinical characteristics analysis of delirium. Methods Select our hospital from April 2012 to August 2013 hospitalized in our hospital and treatment of alzheimer's patients complicated with cerebral infarction caused by delirium of 32 cases of patients, the 32 cases of senile dementia patients compared with delirium after before delirium. Use of delirium scale (DSS), the Chinese version of simple intelligent mental state check table (MMSE) of 32 cases of alzheimer's patients complicated with cerebral infarction caused by delirium and delirium after evaluation. Result The DSS assessment delirium disappears, sleep-wake cycle disorders, behavioral changes occur two at the speed of recovery is best, disorientation, worst illusion two back to the environment. MMSE score delirium disappears to restore best language ability, memory ability to restore the worst. Conclusion Delirium caused by complicated with cerebral infarction in patients with alzheimer's disease clinical characteristics analysis is helpful to identify simple clinical alzheimer's disease and alzheimer's patients complicated with cerebral infarction caused by delirium, has great signiifcance on clinical research.