分析阿尔茨海默病患者的精神行为症状特征

Analyzing the characteristics of mental and behavioral symptoms in patients with Alzheimers disease

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(4)
作者
作者单位

河南科技大学第一附属医院 神经内科 ;

摘要
【摘要】探讨分析阿尔兹海默病(AD)患者的行为、精神症状特征。方法 :于2019年1月—2022年5月采集病例展开研究,对象为河南科技大学第一附属医院神经内科收治的50例AD患者(均纳入轻、中度患者),给予临床痴呆定量表评分对患者实施分组,划分为轻度组(共计29例)、中度组(共计21例),所有患者均接受中文版神经精神症状问卷(CNPI)评估精神行为状态,两组对比其差异性。结果 50例AD患者中出现精神行为症状者共计38例(出现任一项精神行为症症状),发生率为76.00%,其中轻度21例(发生率为72.41%)、中度17例(80.95%);轻度组患者精神行为症状(CNPI)中淡漠发生率明显低中度组(P<0.05);轻度组患者精神行为症状中情感淡漠、异常运动行为评分明显低于中度组患者(P<0.05),其他精神行为症状因子评分均不具备统计学差异(P>0.05)。结论 AD患者群体中,轻度与中度者在精神行为症状发生几率及严重程度有较大差异,为临床疾病治疗提供可靠依据。
Abstract
[Abstract] Objective: To explore and analyze the behavioral and psychological symptoms of patients with Alzheimers disease (AD). Method: From January 2019 to May 2022, a study was conducted on 50 AD patients admitted to the Neurology Department of the First Affiliated Hospital of Henan University of Science and Technology (all included in mild and moderate patients). The patients were divided into mild group (a total of 29 cases) and moderate group (a total of 21 cases) based on clinical dementia quantitative scale scores. All patients received the Chinese version of the Neuropsychiatric Symptom Inventory (CNPI) to evaluate their mental and behavioral status, Compare the differences between the two groups. Results: Among the 50 AD patients, a total of 38 cases (with any one symptom of mental behavior disorder) showed symptoms, with an incidence rate of 76.00%. Among them, 21 cases were mild (with an incidence rate of 72.41%) and 17 cases were moderate (with an incidence rate of 80.95%); The incidence of apathy in the mild group of patients with CNPI was significantly lower than that in the moderate group (P<0.05); The scores of emotional apathy and abnormal motor behavior in the mild group of patients were significantly lower than those in the moderate group (P<0.05), and there was no statistical difference in the scores of other psychological and behavioral symptom factors (P>0.05). Conclusion: There is a significant difference in the probability and severity of mental and behavioral symptoms between mild and moderate AD patients, providing a reliable basis for clinical disease treatment.
关键词
【关键词】阿尔茨海默病;精神行为症状;精神系统;临床特征
KeyWord
Keywords: Alzheimers disease; Psychobehavioral symptoms; Mental system; clinical features
基金项目
页码 695-698
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张维雄*. 分析阿尔茨海默病患者的精神行为症状特征 [J]. 国际精神病学杂志. 2023; 50; (4). 695 - 698.

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