国际疾病分类第10版（ICD - 10）血管性痴呆标准的临床评估

Clinical evaluation of the ICD-10 criteria for vascular dementia.

作者信息

Wetterling T, Kanitz R D, Borgis K J

机构信息

Department of Psychiatry, Medical University of Lübeck, Germany.

出版信息

Eur Arch Psychiatry Clin Neurosci. 1993;243(1):33-40. doi: 10.1007/BF02191521.

DOI:10.1007/BF02191521

PMID:8399408

Abstract

The clinical feasibility of the ICD-10 criteria for subtypes of vascular dementia were examined in an investigation of 61 demented patients (74.4, SD 8.2 years) showing CT appearances of vascular lesions. Only 15 cases (24.6%) fulfilled the ICD-10 criteria of vascular dementia. Of these cases, 66.6% could adequately be classified in subtypes. The most frequent types of vascular dementia were multi-infarct dementia and subcortical vascular dementia. Our findings suggest that the ICD-10 criteria of vascular dementia are more selective than the classical 'ischaemic scales'.

摘要

在一项对61例痴呆患者（平均年龄74.4岁，标准差8.2岁）进行的调查中，这些患者的脑部CT显示有血管病变，研究了国际疾病分类第十版（ICD - 10）中血管性痴呆亚型标准的临床可行性。只有15例（24.6%）符合ICD - 10血管性痴呆标准。在这些病例中，66.6%能够被充分分类到各个亚型。血管性痴呆最常见的类型是多发梗死性痴呆和皮质下血管性痴呆。我们的研究结果表明，ICD - 10血管性痴呆标准比经典的“缺血量表”更具选择性。