621例老年期精神障碍临床分析  

A clinical analysis of 621 cases of mental disorder in geriatic population

作　　者：吴瑞枝[1] 袁勇贵[1] 李海林[1] 苏宝珍[1] 叶勤[1] 张诚[1] 

机构地区：[1]南京医科大学脑科医院

出　　处：《临床精神医学杂志》1999年第1期27-29,共3页Journal of Clinical Psychiatry

摘　　要：目的：探讨老年期精神障碍的临床特点、分类及治疗原则。方法：对符合ＣＣＭＤ－２－Ｒ的６２１例老年期精神障碍患者进行临床及相关因素分析。结果：老年期精神障碍患病率女性比男性高（１．４３∶１），阳性家族史偏低（６．５％），发病诱因较多（３１．４％）；功能性精神障碍与器质性精神障碍之比为２∶１，而７０岁以后器质性精神障碍明显增多，其中脑血管病所致精神障碍常见（５１．５％），其次为ＡＤ（３６．４％）。结论：脑器质性精神障碍患病率随年龄增加而增多。Objective:To explore the clinical features,diagnoses and treatment response of mental disorders affecting the geriatric population. Method:A total of 621 cases of mental disorders occurring after the age of 65 was examined with the CCMD 2 R and the relevant clinical data were analysed. Results:The prevalence of mental disorders was higher in female than male patients(1 41∶1).There was lower incidence of positive family history(6 5%) and higher incidence of precipitating factors(31 4%).Functional disorder was twice as many as organic mental disorder though there was more organic mental disorders in patients older than 70.Aetiology included cerebral vascular(51 6%) and Alzheimers disease(36 4%). Conclusion:There is increased prevalence of mental disorder with advanced age.Early detection and treatment are associated with better prognosis.

关 键 词：老年期 精神障碍 临床特点 分类 治疗 

分 类 号：R749.16[医药卫生—神经病学与精神病学]