【摘要】 目的　研究多发梗塞血管性痴呆患者精神和行为障碍的临床特征。方法　采用MMSE、ADL、GDS、BEHAVE AD量表对 74例住院患者进行评定 ,并进行 χ2 检验。结果　 74例患者均有不同程度的精神和行为障碍 ,以日夜节律紊乱、攻击行为、行为紊乱、偏执和妄想、情感障碍 ,幻觉较常见 ;不同年龄段间精神和行为障碍差异有极显著性 (P <0 .0 1) ;中、重度痴呆患者的行为紊乱较轻度患者明显 (P <0 .0 5 )。结论　多发梗塞血管性痴呆患者精神和行为障碍发生率极高 ,对痴呆病人及其照料者均有多方面的负性影响 ,应予重视。更多还原

【Abstract】 Objective To study clinical characters of mental and behavioral disorders of patients with multi-infarct vascular dementia(MID). Methods 74 in-patients were assessed using the MMSE, ADL, GDS and BEHAVE-AD and χ2 tests conducted. Results All the 74 patients had varied degree of mental and behavioral disorders, common symptoms were circadian rhythms disorder, aggressive behaviors, behavioral disorder, paranoia and delusions, affective disorder and hallucination; there was most significant difference in mental and behavioral disorders among varied age-groups( P<0.01); behavioral disorder was more significant in moderate or severe dementia patients than mild ones (P<0.05). Conclusion Incidence rates of mental and behavioral disorders were highest, which had negative effects on the patients and care-givers and should be paid attentions to.更多还原