老年慢性硬膜下血肿痴呆患者的临床分析与护理

Clinical Analysis and Care of Old Patients with CSDH-induced Aphrenia

目的探讨老年慢性硬膜下血肿(CSDH)痴呆的临床特点、治疗与护理。方法回顾分析老年CSDH痴呆40例,并与老年CSDH非痴呆20例的临床表现、治疗转归等进行比较。结果老年CSDH痴呆外伤史不明显(80%);手术治疗可明显缩短智力恢复及偏瘫症状消失的时间;高血压是诱发该病的主要内科疾病。结论老年CSDH痴呆可逆,治疗和护理应积极主动。及早确诊、合理治疗、护理措施得当与痴呆转归密切相关,提高公众对老年CSDH痴呆的认识对早预防、早确诊、早治疗有意义。

Objective To explore the clinical features, treatment and nursing policy for aged chronic subdural hematoma. Methods A retrospective analysis was performed on 40 old patients with aged CSDH-induced aphrenia, followed by comparing them with another 20 aged CSDH patients without aphrenia concerning the clinical manifestations and treatment and recovery. Results 80% of the old patients with aged CSDH-induced aphrenia did not have history of evident trauma. Operative therapy could shorten the duration for neuropsychiatric functions and paralysis. Hypertension was an important disease inducing aged CSDH aphrenia. Conclusion Aged CSDH aphrenia is reversible only if the treatment and nursing care are active. Early diagnosis, reasonable treatment and care are related to the recovery of aphrenia. Enhancement of public recognition of aged CSDH aphrenia is meaningful for their early prevention, early diagnosis, early treatment.