摘要
目的:探讨老年与非老年谵妄患者的临床特征及谵妄的影响因素。方法:以谵妄量表为工具,调查我院2005年全年精神科会诊的50例谵妄患者,非老年组29例,老年组21例,均符合中国精神障碍分类与诊断标准第3版和美国精神障碍诊断与统计手册第4版谵妄诊断标准,进行回顾性分析。结果:非老年组谵妄由脑外伤、中毒与成瘾物质戒断引起者显著较老年组为多,而老年组由脑卒中、痴呆、心血管疾病、呼吸系统疾病引起者显著较非老年组为多,差异显著。白细胞和中性粒细胞数增多、高红细胞压积、低血钾、血氧分压降低、高尿素氮、住院时间延长与谵妄程度有关。结论:老年与非老年的谵妄病因有所不同,老年人意识障碍较重,病情波动大。感染、内环境失衡与谵妄程度有关。
Objective：To explore the clinical features of senile and non-senile delirium patients and its influencing factors. Method： Fifty delirium patients, who were consulted patients in our hospital by psychiatric department in 2005 and were diagnosed as delirium met with Chinese classification and diagnostic criteria of mental disorders third edition （CCMD-3） and diagnostic and statistical of mental disorders 4th edition （DSM-Ⅳ）, were investigated by delirium scale （DSS） and were retrospectively analyzed. Results： Compared with senile group, delirium patients in non-senile group was significantly more. likely due to brain trauma, poisoning and addictive substance withdraw. Delirium patients in senile group were significandy more due to brain stroke, dementia, cardiovascular disease and respiratory disease than patients in non-senile group. The severity of delirium was related to the increment of total white blood cell and neutrocyte, higher blood hematocrit, lower blood level of kalium, lower blood pressure of oxygen, higher blood level of urea nitrogen and longer time of hospitalization. Conclusion： In respect of delirium, its pathogenesis is different between senile and non-senile patients, with severe impairment in consciousness and obvious illness fluctuation in senile patients. The severity of delirium is related to infection and unbalance of homeostasis.
出处
《临床精神医学杂志》
2007年第6期380-382,共3页
Journal of Clinical Psychiatry
关键词
谵妄
老年
delirium
senile
