阿尔采木病和血管性痴呆的临床比较  

Clinical Comparison between Alzheimer's Disense and Vascular Dementia.

作　　者：叶勤[1] 吴瑞枝 李海林 

机构地区：[1]南京医科大学附属南京脑科医院,210029

出　　处：《健康心理学杂志》2002年第6期443-444,共2页Health Psychology Journal

摘　　要：目的　探讨 AD、VD病人的认知障碍及精神病性症状出现率、特点以及 AD组 VD组的不同点。方法　 80例 AD病人、65例 VD病人 ,作 MMSE、HDS、HIS、ALD量表及 WAIS、WMS量表对精神病性症状进行分析。结果　 AD组的WAIS、MMSE、HDS量表分比 VD组低 ,有显著性差异。精神病性症状出现率 AD组 77.5 % ,VD组 84.61 %。两组无显著性差异。但情感脆弱出现率 VD组比 AD组高 ,两组有显著性差异。结论　认知损害是 AD病人的基本症状 ,较 VD病人严重 ,AD、VD的精神病性症状较为常见 ,情感脆弱多见于Objective To explore the mental symptoms and cognitive function of the patients with Alzheimer's disease(AD),and vascular dementia(VD) and their characteristics,incidene.Method 80 patients with AD and 65 patients with VD were assessed with Mini-mental state examination(MMSE),Hastagawa dementia scale(HDS) Activity of daily living scale(ADL),Wechsler memory scale(WMS) and wechsler intelligence scale(WIS).Results The patients' with AD scores of WIS,MMSE and HDS were significantly lower than patients with VD.77.5% of patients with AD and 84.61% of patients with VD had mental disorders.The incidence of affective fragility of patients with AD was significantly higher than patients with VD.Conclusion Cognitive dysfunction was basic symptom of patients with AD;the incidence of mental symptoms were high in patients with AD and VD;affective fragility was more easy to be found in patients with VD.

关 键 词：阿尔采本病 血管性痴呆 认知障碍 精神病性症状 老年期痴呆 

分 类 号：R749.16[医药卫生—神经病学与精神病学]