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[器质性脑性精神综合征患者的心理和身体损害——治疗效果分析]

[Psychological and physical compromises in patients with organic cerebral psychosyndrome--analysis of treatment success].

作者信息

Volk S, Kaendler S, Georgi K, Pflug B

机构信息

Zentrum der Psychiatrie, Johann-Wolfgang-Goethe-Universität, Frankfurt.

出版信息

Z Gerontol. 1993 Mar-Apr;26(2):101-5.

PMID:8498096
Abstract

The extent of psychic and physical disturbances of patients admitted to the Center of Psychiatry in Frankfurt/M. because of organic psychosyndromes in the year 1988 was analysed. Especially the results of the hospital treatment and the proceeding mode of caretaking were examined. Usually an unspecific state of confusion was the main reason for admittance of most of the patients (n = 59). The majority of the patients suffered from a mid-ranged to marked state of dementia. The results of the treatment for these patients was highly significantly worse compared to patients admitted with a psychosis or a depressive syndrome. A non-significant statistical correlation was found for the results of the medical treatment and medical diseases. Concerning the treatment with psychic drugs a pragmatistic order was used. Analysing the results no advantage of a treatment with up to 4 different drugs compared to a monotherapy could be found. Patients who were not treated with psychic active substances tended to have a poorer outcome. At the end of the stay in the hospital 25.4% of patients were classified with a good outcome after treatment, 49.2% had a slight degree of recovery.

摘要

对1988年因器质性精神综合征入住法兰克福/美因河畔法兰克福精神病中心的患者的心理和身体障碍程度进行了分析。特别检查了住院治疗结果和护理程序模式。通常,大多数患者(n = 59)入院的主要原因是一种非特异性的意识模糊状态。大多数患者患有中度至重度痴呆状态。与因精神病或抑郁综合征入院的患者相比,这些患者的治疗结果明显更差。在药物治疗结果和内科疾病之间发现了无统计学意义的相关性。在使用精神药物治疗方面采用了实用主义的用药顺序。分析结果发现,与单一疗法相比,使用多达4种不同药物治疗并无优势。未接受精神活性物质治疗的患者预后往往较差。在住院结束时,25.4%的患者在治疗后被归类为预后良好,49.2%的患者有轻微程度的康复。

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