首页|高龄老人患谵妄与痴呆重叠1例

高龄老人患谵妄与痴呆重叠1例

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谵妄是一种急性发作的神经精神障碍,而痴呆是一种以认知功能缺损为核心症状的获得性损害综合征,痴呆合并谵妄时称之为痴呆叠加谵妄(DSD),如果得不到及时诊断和治疗,将严重威胁老年人的健康,严重可导致死亡率、再入院率等风险增加。目前军队干休系统保健对象均为高龄老人,对高龄老人谵妄与痴呆重叠的早期诊断、干预、治疗应引起高度关注。本文对高龄老人出现痴呆叠加谵妄的诱因、诊断及非药物干预、药物治疗的效果进行分析,以期为基层医疗卫生机构缺乏临床经验的医护人员对该类患者临床处置提供参考。
Dementia superimposed on delirium in the elderly:a case report
Delirium is an acute-onset neuropsychiatric disorder,while dementia is an acquired impairment syndrome with cognitive deficits as the core symptom.When dementia is combined with delirium,it is called dementia superimposed on delirium(DSD),which,if not diagnosed and treated in a timely manner,will seriously threaten the health of the elderly,and can seriously lead to an increased risk of mortality and readmission.At present,the health care objects of the military rest system are the elderly,and the early diagnosis,intervention and treatment of the overlap of delirium and dementia in the elderly should be highly concerned.This paper analyzes the causative factors,diagnosis,and effects of non-pharmacological interventions and pharmacological treatments of delirium superimposed on dementia in the elderly,with a view to providing references for the clinical management of such patients by healthcare personnel lacking clinical experience in primary healthcare institutions.

Old ageThe agedDeliriumDementiaSuperimposed

吴建华、范文华、方迎迎

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230001 安徽省军区合肥第四离职干部休养所门诊部

230001 安徽省军区合肥第二离职干部休养所门诊部

高龄 老人 谵妄 痴呆 重叠

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(11)