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老年患者谵妄的危险因素、预防性干预措施、重叠症状及临床指标

Risk factors, preventive interventions, overlapping symptoms, and clinical measures of delirium in elderly patients.

作者信息

Mei Xi, Liu Yue-Hong, Han Ya-Qing, Zheng Cheng-Ying

机构信息

Department of Psychiatry, Ningo Kangning Hospital, Ningbo 315201, Zhejiang Province, China.

出版信息

World J Psychiatry. 2023 Dec 19;13(12):973-984. doi: 10.5498/wjp.v13.i12.973.

Abstract

Delirium is an acute reversible neuropsychiatric syndrome caused by multiple factors. It is associated with many adverse clinical outcomes including cognitive impairment, functional decline, prolonged hospitalization, and increased nursing service. The prevalence of delirium was high in department of cardiology, geriatric, and intensive care unit of hospital. With the increase in the aged population, further increases in delirium seem likely. However, it remains poorly recognized in the clinical practice. This article comprehensively discusses the latest research perspectives on the epidemiological data, risk factors, preventive interventions, overlapping symptoms, and clinical measures of delirium, including specific measures to manage delirium in clinical real-world situations. This article helps readers improve their knowledge and understanding of delirium and helps clinicians quickly identify and implement timely therapeutic measures to address various delirium subtypes that occur in the clinical settings to ensure patients are treated as aggressively as possible.

摘要

谵妄是一种由多种因素引起的急性可逆性神经精神综合征。它与许多不良临床结局相关,包括认知障碍、功能衰退、住院时间延长以及护理服务增加。谵妄在医院的心脏科、老年科和重症监护病房中患病率很高。随着老年人口的增加,谵妄似乎可能会进一步上升。然而,它在临床实践中仍然未得到充分认识。本文全面讨论了关于谵妄的流行病学数据、危险因素、预防性干预措施、重叠症状和临床措施的最新研究观点,包括在临床实际情况中管理谵妄的具体措施。本文有助于读者增进对谵妄的认识和理解,并帮助临床医生快速识别并及时实施治疗措施,以应对临床环境中出现的各种谵妄亚型,确保尽可能积极地治疗患者。

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