132例老年期谵妄患者临床分析  

132 cases of gerontol delirium: a clinical study

作　　者：朱小蔚[1] 马元[2] 丁忠海[3] 潘海涛[3] 伏杭江[3] 

机构地区：[1]南京军区南京总医院保健办公室,南京210002 [2]南京医科大学第一附属医院呼吸科,南京210029 [3]南京军区南京总医院干部保健科,南京210002

出　　处：《医学研究生学报》2015年第2期182-185,共4页Journal of Medical Postgraduates

摘　　要：目的谵妄是由多种因素引起的急性器质性脑病综合征。文中探讨老年期谵妄的临床特征、治疗及预后。方法回顾性分析南京军区南京总医院干部病区2011年1月至2013年1月诊断为谵妄的132例老年患者临床资料,按照临床结局分成有效组（痊愈与好转）和死亡组,对患者一般情况、病因、临床特征、治疗等进行总结分析。结果 132例患者中男73例,女59例;年龄65~97岁,平均（71.4±8.3）岁。所有患者均有不同程度意识障碍。组间比较发现,有效组与死亡组患者在年龄、谵妄持续时间、病程中是否昏迷、是否重症感染、是否气管插管和（或）气管切开、是否合并有多种基础疾病等方面的差异有统计学意义（P〈0.05）。多因素Logistic回归分析显示,病程中出现昏迷、气管插管和（或）切开、文化程度、体温、合并重症感染是本研究中老年期谵妄患者的独立危险因素（P〈0.05）。结论老年期谵妄治疗过程中应注意患者体温和对感染的控制。针对基础疾病的有效治疗和预防有利于改善患者预后。Objective To investigate clinical features,outcomes and prognosis gerontol delirium. Methods Patients with gerontol delirium diagnosed between January 2011 and January 2013 were identified by a retrospective review of records in the Nanjing General Hospital of Nanjing Military Command. Totally 132 patients were included,59 females and 73 males,with a median age of71. 4 years（ range 65- 97）. The diagnostic criteria were based on the DSM-Ⅳ and Delirium Rating Scale. Dementia,depression,mental retardation and other cognitive dysfunction were excluded. General condition of patients,etiology,clinical features,treatment and prognosis were all performed using the SPSS 20. 0 for windows. A P value of〈 0. 05 was considered as significant. Results Disturbance of consciousness were observed in all 132 patients. Old age,coma and serious infection in the course,endotracheal intubation and（ or） tracheotomy,a variety of basic diseases all come up with poor prognosis. Conclusion Delirium progresses quickly.Etiological treatment can help to control the conditions of delirium.

关 键 词：老年 谵妄 病因治疗 临床分析 预后 

分 类 号：R749[医药卫生—神经病学与精神病学]