60例老年期首发脑血管性精神障碍临床分析

Clinical analysis on 60 aged patients with first-onset mental disorders Due to vascular disease

目的：探讨老年期首发脑血管性精神障碍（MDVD）的临床特点及治疗。方法；回顾性分析60例老年期首发MDVD患者的临床资料，并与34例老年期首发精神分裂症（sc）对照。结果：MDVD组有90％出现精神病性症状，不同于SC组的症状是意识障碍，焦虑抑郁和认知减退。MDVD组的治疗量为SC组的1／3—1／2。两组的不良方应相类似，苯二氮革类的合用十分普遍。结论：老年期首发MDVD伴发精神症状常见，经综合治疗可获良效。

Objective ：To study clinical characteristics and treatments of aged patients with first - onset mental disorders due to vascular disease （MDVD）. Methods：The clinical data of 60 aged patients with first- onset MDVD were investigated retrospectively, compared with the data of 34 aged patients with first - onset schizophrenic （SC）. Results： 90% of the aged patients with first - onset MDYD had psychotic symptoms. The symptoms different from SC were consciousness disorder, anxiety and depression, intelligence impairment. The treatment dosage was one third to a half as compared with SC. Side effects were nearly same and Benzodiazepines were used generally in two groups. Conclusions： The aged patients with first -onset MDVD often have psychotic symptoms; the symptoms can be controlled well after synthetic treatments.