谵妄状态病人的临床特点对照分析

A controlled analysis on the clinical features of patients with dilirium.

目的 探讨谵妄状态病人的临床特点。方法 对符合CCMD -2 -R意识障碍和DSM -IV谵妄诊断标准的12 1例病人的临床资料进行了回顾性分析。结果 引起谵妄的病因很多 ,但以颅脑疾病 (5 3 .7% )居首位 ,综合因素(47% )则次之。并从多元逐步回归统计显示 ,脑血管病、痴呆、原因不明者与年龄呈正相关。此类病人的临床表现以意识障碍为特征 ,并伴有思维不连贯、遗忘、视幻觉及行为紊乱等。结论 谵妄的出现往往是多种原因作用的结果 ,其临床特点是急性起病 ,且以意识障碍伴全面认知功能障碍 ,症状节律变化为主。

Objective To explore the clinical features of patients with dilirium.Method The clinical datum of 121 patients who were in keeping with CCMD-2-R criteria for consciousness disorder and DSM-IV criteria for dilirium were reviewed.Results The pathogenies of dilirium are various,among which craniocerebral disease occupies first place and synthetic factors comes second.Multiple stepwise regrssion equation shows that age is positive correlation with cerebral vascular disease demetia and uncertain pathogeny.Main clinical manifestations are consciousness disorder accompanied by incoherence of thinking,forgetting,visual hallucination,behavioral disorder and other clinical symptoms.Conclusion The emergence of dilirium is normally caused by the interaction of various pathogenies.The main clinical characters of dilirium are acute at the onset,with overall comprehesion accompanied by consciousness disorder and the changing of symptom rhythm.