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西班牙莱昂被诊断和未被诊断为阿尔茨海默病患者的合并症患病率,以及在涉及阿尔茨海默病患者的紧急情况下应遵循的应急程序建议。

Prevalence of Comorbidities in Individuals Diagnosed and Undiagnosed with Alzheimer's Disease in León, Spain and a Proposal for Contingency Procedures to Follow in the Case of Emergencies Involving People with Alzheimer's Disease.

机构信息

Facultad de Ciencias de la Salud, Campus de Vegazana, Universidad de León, s/n, C.P. 24071 León, Spain.

SALBIS Research Group, Facultad de Ciencias de la Salud, Campus de Ponferrada, Universidad de León, Avda/ Astorga s/n, C.P. 24402 Ponferrada (León), Spain.

出版信息

Int J Environ Res Public Health. 2020 May 13;17(10):3398. doi: 10.3390/ijerph17103398.

DOI:10.3390/ijerph17103398
PMID:32414124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7277451/
Abstract

: Alzheimer's disease (AD) which is the most common type of dementia is characterized by mental or cognitive disorders. People suffering with this condition find it inherently difficult to communicate and describe symptoms. As a consequence, both detection and treatment of comorbidities associated with Alzheimer's disease are substantially impaired. Equally, action protocols in the case of emergencies must be clearly formulated and stated. We performed a bibliography search followed by an observational and cross-sectional study involving a thorough review of medical records. A group of AD patients was compared with a control group. Each group consisted of 100 people and were all León residents aged ≥65 years. The following comorbidities were found to be associated with AD: cataracts, urinary incontinence, osteoarthritis, hearing loss, osteoporosis, and personality disorders. The most frequent comorbidities in the control group were the following: eye strain, stroke, vertigo, as well as circulatory and respiratory disorders. Comorbidities with a similar incidence in both groups included type 2 diabetes mellitus, glaucoma, depression, obesity, arthritis, and anxiety. We also reviewed emergency procedures employed in the case of an emergency involving an AD patient. Some comorbidities were present in both the AD and control groups, while others were found in the AD group and not in the control group, and vice versa.

摘要

阿尔茨海默病(AD)是最常见的痴呆症类型,其特征是精神或认知障碍。患有这种疾病的人发现他们很难进行沟通和描述症状。因此,与阿尔茨海默病相关的共病的检测和治疗都受到了极大的影响。同样,在紧急情况下,必须明确制定和说明行动方案。

我们进行了文献检索,随后进行了观察性和横断面研究,对病历进行了全面审查。将一组 AD 患者与对照组进行比较。每组包含 100 人,均为莱昂市≥65 岁的居民。研究发现以下合并症与 AD 相关:白内障、尿失禁、骨关节炎、听力损失、骨质疏松症和人格障碍。对照组中最常见的合并症是:眼睛疲劳、中风、眩晕以及循环和呼吸系统疾病。两组共有的常见合并症包括 2 型糖尿病、青光眼、抑郁、肥胖、关节炎和焦虑症。我们还回顾了涉及 AD 患者的紧急情况所采用的紧急程序。

一些合并症同时存在于 AD 组和对照组中,而另一些仅存在于 AD 组中而不存在于对照组中,反之亦然。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c30d/7277451/93eb6e0b4cd2/ijerph-17-03398-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c30d/7277451/71de88f13f9a/ijerph-17-03398-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c30d/7277451/72ac1badb772/ijerph-17-03398-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c30d/7277451/163f130c75c0/ijerph-17-03398-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c30d/7277451/93eb6e0b4cd2/ijerph-17-03398-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c30d/7277451/71de88f13f9a/ijerph-17-03398-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c30d/7277451/72ac1badb772/ijerph-17-03398-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c30d/7277451/163f130c75c0/ijerph-17-03398-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c30d/7277451/93eb6e0b4cd2/ijerph-17-03398-g004.jpg

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Prevalence of Comorbidities in Individuals Diagnosed and Undiagnosed with Alzheimer's Disease in León, Spain and a Proposal for Contingency Procedures to Follow in the Case of Emergencies Involving People with Alzheimer's Disease.西班牙莱昂被诊断和未被诊断为阿尔茨海默病患者的合并症患病率,以及在涉及阿尔茨海默病患者的紧急情况下应遵循的应急程序建议。
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