老年与非老年多灶脑梗塞性痴呆临床比较  

A clinic comparison between geriatric and un-geriatric cerebral multifocal infarctive dementia

作　　者：曾昭祥[1] 闫珉[1] 刘琳[1] 张永东[1] 曹中昌[1] 许明智[1] 李志成[1] 

机构地区：[1]山东省济宁市精神病防治院,河南省精神病医院,济宁医学院精神病学教研室

出　　处：《中国神经精神疾病杂志》1996年第2期94-95,共2页Chinese Journal of Nervous and Mental Diseases

摘　　要：本文对４６例老年与３２例非老年多灶脑梗塞性痴呆进行了临床对照研究。结果发现老年组情感脆弱及强哭强笑的发生率明显高于非老年组，意识障碍亦较非老年组多见；而脑衰弱症、情感高涨、幻觉和感知觉综合障碍的发生率较非老年组为低。神经损害两组均以右侧偏瘫均较多见，震颤麻痹及吞咽困难的发生率老年组明显高于非老年组；另外老年组脑部梗塞灶较多，且多有出血性，其痴呆程度相对较重。We had clinically compared 46 geriatric patients with 32 un-geriatric patients with cerebral multifocal infarctive dementia. It was found that rates of emotional fragility and forced crying and laughter in geriatric patients as well as disturbance of conciousness were obviously higher than in un- geriatric patients. On the contrary, rates of symptoms of cerebrosthenia, hyperthymia, illusion and psychosensory disturbance in geriatric patients were lower. Of neural lesions, right hemiplegia in both groups was common, but lates of paralysis agitans and swallowing difficulty were much higher in geriatric patients than in un-geriatric patients. In addition, cerebral infarctive loci in geriatric patients were multifocal and mostly were hemorrhagic and their dementia symptom was relatively more serious.

关 键 词：老年人 脑梗塞 痴呆 

分 类 号：R743.330.6[医药卫生—神经病学与精神病学] R749.13[医药卫生—临床医学]