Smith C L, Granger C V
Department of Rehabilitation Medicine, School of Medicine and Biomedical Sciences, State University of New York, Buffalo.
Am J Phys Med Rehabil. 1992 Feb;71(1):28-30. doi: 10.1097/00002060-199202000-00007.
The evaluation of dementia for reversible causes should not be overlooked. Hypothyroidism is a reversible cause for dementia. Mental status is one of the important factors to be assessed prospectively to determine whether a patient is likely to benefit from intensive inpatient rehabilitation. Because of the negative effect of dementia on the learning process during intensive inpatient medical rehabilitation, it alone may be a sufficient reason to consider alternatives to intensive inpatient rehabilitation. On our rehabilitation unit, hypothyroidism causing confusion was recognized and corrected in two patients. The thyroid-stimulating hormone test is suggested as a screening tool.
对痴呆可逆病因的评估不应被忽视。甲状腺功能减退是痴呆的一个可逆病因。精神状态是前瞻性评估的重要因素之一，以确定患者是否可能从强化住院康复中获益。由于痴呆对强化住院医疗康复期间学习过程有负面影响，仅这一点就可能是考虑替代强化住院康复的充分理由。在我们的康复科，两名患者被诊断出因甲状腺功能减退导致意识模糊并得到了纠正。建议将促甲状腺激素检测作为一种筛查工具。
