老年期痴呆病人行为障碍的比较

Analysis and Comparison of Behavior Disorders for Aged Patients with Dementia

目的比较阿尔茨海默病(AD)、混合型痴呆(MD)、血管性痴呆(VD)病人的行为障碍。方法采用认知功能减退(MMSE)评分、日常生活能力(ADL)水平、CMAI评定老年期各型痴呆病人的行为障碍,并进行比较。结果AD组、MD组、VD组3组间的年龄、MMSE评分比较均无统计学意义,AD组与VD组间的ADL评分比较有统计学意义(P<0.05)。各组CMAI量表激越行为总发病率AD组明显高于VD组和MD组,但激越行为发生率和严重程度3组间比较无统计学意义。结论AD组ADL高于VD组,与MD组无统计学意义,且激越行为总发病率均高于VD组、MD组,但激越行为发生率和严重程度比较无统计学意义。提示AD组日常生活能力具有特征性改变,但痴呆的三种分型的精神、行为异常症状比较无统计学意义。

Objective To compare behavior disorders in the patients （pts） with Alzheimer＇s disease （AD）, mixed dementia （MD） and vascular dementia （VD）. Methods The 43 pts with AD, 18 pts with MD and 31 pts with VD were observed. The behavior disorders were compared and analyzed by MMSE, ADL and CMAI. Results No significant difference was found in age and MMSE average scores among AD, MD and VD. There was significant difference of ADL average scores between AD and VD （P 〈 0.05）. The incidence rate of agitated behavior in AD were higher significantly than that in VD and MD, but no significant difference was found in the percentages and degree of agitated behavior. Conclusion The pts with AD had higher ADL than in the pts with VD, but there was no difference compared with MD. The incidence rate of agitated behavior in AD was higher than in VD and MD. It suggested that the change of ADL in AD was characteristic, but there was no difference in mental and behavior disorder among the three type dementia.