Alzheimer病患者精神科门诊现状调查

被引:4
作者
盛建华
高之旭
机构
[1] 上海市精神卫生中心,上海市精神卫生中心,
关键词
Alzheimer病; 精神科门诊; 行为和精神症状;
D O I
暂无
中图分类号
R749.16 [];
学科分类号
100203 ;
摘要
目的 了解Alzheimer病(AD)患者精神科门诊的现状。方法 调查1997年1月至1999年6月期间在我院首次门诊时诊断为AD的124例患者的门诊记录。结果 ①AD病人首次门诊时的年龄76.58±8.46岁,病程(2.63±2.04)年。轻度AD 44例(35.5%),中度AD 49例(39.5%),重度AD 31例(25%)。②首次门诊时有行为和精神症状(BPSD)者110例(88.7%),AD常见的BPSD为妄想、攻击行为、睡眠不良、幻听、行为紊乱、外跑、抑郁情绪和性格改变等。③一次门诊者47例(37.9%),门诊的依从性与病人的年龄、性别、婚姻、病程、严重度和有无BPSD无关。结论 AD病人的诊治常被延误,BPSD是痴呆的重要症状,AD病人门诊的依从性差。
引用
收藏
页码:102 / 104
页数:3
相关论文
共 7 条
[1]  
Behavioral symptoms in Alzheimer’s disease: phenomenology and treatment. Reisberg B,Borenstein L,Salob SP,et al. Journal of Clinical Psychiatry . 1997
[2]  
Stage specific incidence of potentially remediable behavioral symptoms in aging and Alzheimer’s disease: a study of 120 patients using the BEHAVE-AD. Reisberg B,Franssen E,Sclan S,et al. Bull Clin Neurosci . 1989
[3]  
Prediction of institutionalization among caregivers of patients with Alzheimer’s disease. Colerick EJ,George LK. Journal of the American Geriatrics Society . 1986
[4]  
Diagnostic and statistical manual of mental disorders (third edition-revised).American Psychiatric Association. American Psychiatric Association. Washington D. C . 1987
[5]  
Functional disability in Alzheimer’s disease. Gauthier S,Gelinas I,Gauthier L. International Psychogeriatrics . 1997
[6]  
Resperidone in the treatment of schizophrenia. Marder SR,Meibach RC. American Journal of Psychiatry . 1994
[7]  
Interventions for the behavioral complications of Alzheimer’s disease: behavioral approaches. Burgio L. International Psychogeriatrics IPA . 1996