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[痴呆与内科疾病:阿尔茨海默病性痴呆、血管性痴呆及其他痴呆性疾病的内科疾病发病率]

[Dementia and internal diseases: incidence of internal diseases in Alzheimer dementia, vascular dementia and other dementing diseases].

作者信息

Förstl H, Burns A, Luthert P, Cairns N

机构信息

Section of Old Age Psychiatry, Institute of Psychiatry, London, United Kingdom.

出版信息

Z Gerontol. 1991 Mar-Apr;24(2):91-3.

PMID:1877294
Abstract

The medical histories and postmortems of 30 patients with neuropathologically verified Alzheimer's disease were compared with a group of 20 patients suffering from vascular dementia and a group of 10 patients with other forms of dementia. The total numbers of clinically or pathologically diagnosed medical disorders did not show significant differences between the different forms of dementia. Metabolic, infectious, degenerative, and malignant disorders occurred with similar frequency in all investigated groups. Cardiovascular diseases were only slightly more common in patients with vascular dementia. In contrast to several earlier clinical or epidemiological studies, it has to be concluded that patients with Alzheimer's dementia cannot be considered physically "healthier" than patients with other forms of dementia. Therefore, they need the same medical attention as do other elderly demented patients.

摘要

对30例经神经病理学证实为阿尔茨海默病的患者的病史和尸检结果,与20例血管性痴呆患者及10例其他形式痴呆患者组成的组进行了比较。不同形式痴呆在临床或病理诊断的医学病症总数上未显示出显著差异。代谢性、感染性、退行性和恶性病症在所有研究组中的发生频率相似。心血管疾病在血管性痴呆患者中仅略为常见。与一些早期临床或流行病学研究相反,必须得出结论,阿尔茨海默病痴呆患者在身体上不能被认为比其他形式痴呆患者“更健康”。因此,他们需要与其他老年痴呆患者一样的医疗关注。

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