164例住院老年期痴呆患者的精神和行为障碍

The analysis of behavioral and psychiatric symptoms of 164 inpatients with senile dementia

目的 研究老年期痴呆病人的精神和行为障碍(BPSD)。方法 采用BEHAVE-AD量表对164例住院的老年期痴呆病人进行评定。结果 所有病例均有不同程度的BPSD,其中以行为紊乱、攻击行为、日夜节律紊乱和偏执与妄想多见,且阿尔茨海默病(AD)和血管性痴呆(VD)大致相似。结论 DPSD的发生率极高,对老年期痴呆的诊断、治疗、预后等有重要影响,应予重视和加强研究。

Objectives : To study behavioral and psychiatric symptoms of senile dementia. Method: BPSD of 164 senile dementia patients were evaluated with the BFHAVE-AD scale. Results: All the patients have BPSD more or less. The most common problems are abnormal and aggressive behavior, day-night rhythm disorder and delusion. There is almost no difference between Alzheimer's dementia and vascular dementia. Conclusion: BPSD needs more attention and further research due to its high incidence and deep influence on the diagnosis, therapy and prognosis of senile dementia.