81例痴呆症的临床治疗

Clinical treatiment for dementia:A 8l case report

８１例痴呆患者，其中血管性痴呆５４例（占６６．６％），Ａｌｚｈｅｉｍｅｒ＇ｓ病７例（８．６％），慢性酒精中毒痴呆４例（４．９％），正常压力脑积水２例（２．５％），混合性痴呆３例（３．７％），其它１１例（１３．６％），经积极治疗后８１例中记忆力、定向力、智力改善的４４例，其中明显好转的１５例。因此提出：①痴呆可分为可能治疗的和不可能治疗的痴呆二类；②对可能治疗的痴呆早期诊断和早期治疗的重要性；③应对可能治疗的痴呆的病因及危险因素积极预防和治疗，以减少痴呆的发生率；④对病因尚不清的不能治疗的痴呆应加强对其病因和发病机理的研究。

l patients with dementia were reported.Among them vascular dementia(VD)were 54 patients(66.6%),Alzheimer's disease(AD) 7 patients (8.6%),chronic alcoholism 4 patients(4.9%),normal pre susure hydrocephalus(NPH)2 patients(2.5%),VD+AD 3 patients(3.7%),others 11 patients(13.6%)after active treatment the memory,orientation and intellect in 44 of the 8l cases were improved,with marked improvement in l5 cases,It is indicated that:(l)Dementia can be divided into treatable and untreatable groups;(2)The importance of early diagnosis and treatment;(3) Prevention of demetia such as prevention of risk factors of cerebral vascular disease and the avoidance excess drinking,etc;(4)The necessity of further research on the etiology and machanism of dementia is umtreatable up to the present time.(Author's address:Neurology Department,China-Japan Friendship Hospital,Beijing, 100029)