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[内科病房老年患者的谵妄(急性意识模糊)]

[Delirium (acute confusion) among elderly patients after admission to a medical department].

作者信息

Braekhus A, Engedal K

机构信息

Geriatrisk avdeling, Ullevål sykehus, Oslo.

出版信息

Tidsskr Nor Laegeforen. 1994 Sep 20;114(22):2613-5.

PMID:7985180
Abstract

Delirium is a common mental disorder among the elderly. In this study we examined the prevalence of delirium among patients older than 75 years of age who had been admitted to an acute medical ward. 14 of 58 patients (24%) received a diagnosis of delirium. For these patients we recorded in all 58 factors possibly associated with its occurrence, four on average per patient. Drugs, cerebrovascular disease, and congestive heart failure were the most common factors. The large number of possibly contributing factors precludes a definite conclusion regarding precipitating factors. Mini-Mental State Examination, which is a commonly used screening-instrument for detecting cognitive impairment, was of minor value in detecting delirium.

摘要

谵妄是老年人中常见的精神障碍。在本研究中,我们调查了入住急性内科病房的75岁以上患者中谵妄的患病率。58名患者中有14名(24%)被诊断为谵妄。对于这些患者,我们共记录了58个可能与其发生相关的因素,平均每位患者有4个因素。药物、脑血管疾病和充血性心力衰竭是最常见的因素。大量可能的促成因素使得无法就诱发因素得出明确结论。简易精神状态检查表是检测认知障碍常用的筛查工具,在检测谵妄方面价值不大。

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