《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (6): 516-518.

• 论文 • 上一篇    下一篇

上海老年期痴呆患者行为和精神症状评估分析

张云1，薛海波2，吕军1，刘寅3，姚新伟2，虞慧炯3，季敏3   

  1. 1.复旦大学公共卫生学院公共卫生安全教育部重点实验室，上海市 200032；2.上海市疾病控制精神卫生分中心，上海市200030；3.上海市残疾人联合会，上海市 200127。
  • 收稿日期:2010-03-30 修回日期:1900-01-01 出版日期:2010-06-25 发布日期:2010-06-25
  • 通讯作者: 吕军

Evaluation of Behavioral and Psychological Symptoms in Elderly with Dementia in Shanghai

ZHANG Yun, XUE Hai-bo, Lü Jun，et al.   

  1. Pubic Health School of Fudan University, Shanghai 200032, China
  • Received:2010-03-30 Revised:1900-01-01 Published:2010-06-25 Online:2010-06-25

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被引次数

13

摘要： 目的了解上海老年期痴呆患者行为和精神症状的发生情况及严重程度。方法在前期老年期痴呆现况调查的基础上，采用神经精神量表(NPI)对1271例确诊的老年期痴呆患者的行为和精神症状（BPSD）进行测评。结果50.95%的患者近1个月内出现过不同程度的行为和精神症状，32.17%为临床显著性症状(CSD)。对照顾者影响最大的症状是妄想(2.32±1.48)，其次是异常的运动行为(2.30±1.31)和幻觉(2.16±1.25)。严重程度的分级为Ⅰ级(轻度)620例、Ⅱ级(中度)238例和Ⅲ级(重度)406例。结论上海老年期痴呆患者BPSD发生率较高，老年期痴呆严重程度的分级标准需结合研究目的进行确定。

关键词: 老年期痴呆, 神经精神量表, 行为精神症状, 分析

Abstract: ObjectiveTo evaluate probability and severity of behavioral and psychological symptoms in dementia (BPSD) in elderly with dementia in Shanghai.MethodsOn the basis surveyed before, total 1271 elderly with dementia were investigated with the international neuropsychiatric inventory (NPI) to evaluate BPSD.ResultsThe proportion of elderly with dementia that had BPSD was 50.95% , it was 32.17% for clinical significant disturbance (CSD). The symptoms had greatest impact on the caregivers were paranoia (2.32±1.48), followed by abnormal motor behavior (2.30±1.31) and hallucinations (2.16±1.25). The severity rating included mild 620 cases, moderate 238 cases, and severe 406 cases.ConclusionThe incidence rate of BPSD in elderly with dementia was high. The standard of severity grading should be selected with purposes.

Key words: senile dementia, Neuropsychiatric Inventory, Behavioral and Psychological Symptoms in Dementia, analysis