老年期谵妄预后的随访研究

A follow-up study of delirium senilis

对符合ＤＳＭ－Ⅲ－Ｒ诊断标准的６４例出院诊断为老年期谵妄病人进行了随访，平均随访时间４．３±２．８年。发病年龄６０～８２岁，平均７１．８±５．９岁。其中男３７例，女２７例，结果为２５％完全恢复，１４．１％轻度智能减退，２０．４％痴呆，４０．６％死亡。预后与性别，病前性格，精神疾病类型无关。常见的致死原因与感染疾病，心脑血管疾病，衰竭有关。我们认为老年期谵妄预后差，死亡率高。

A follow-up study of delirium senilis patients isdescribed. The mean duration of the follow-up was 4.3±2.8 years. 37 male and 27 female patients, with a mean age of 71.8 ± 5 years, werediagnoses as delirium according to the DSM-Ⅲ-R criteria. The results showed that 25% of the patients completely recovered, 14.1% had a mild cognitive impairment, 20.4% dementia, 40.6%dead. The outcome showed no correlation between prognosis with sex, temperature. However, there was a relationship between the prognosis with age. brain disease, infective, cardiovascular disease and exhaustion. It is thought that there are a poor prognosis and a high mortality rate in delirium senilis.