老年性痴呆患者窒息风险影响因素研究

【作者】 王建女； 章秋萍； 段海鸿； 李永妹；

【机构】 杭州市第七人民医院；

【摘要】 目的:探讨老年性痴呆患者的窒息风险的影响因素。方法:对80例临床住院的老年性痴呆患者在评估简易智能精神状态筛选表(MMSE)的基础上,分别评估患者一般状况、自编窒息风险评估表、痴呆行为病理学评定量表(BEHAVE-AD)、激越问卷(CMAI)和生活自理能力评定量表(ADL)等。结果:老年痴呆患者的窒息风险评估表得分在不同年龄组间有显著性差异(P<0.05);老年性痴呆患者窒息风险评分与饮水试验(r=0.789,P<0.01)、CMAI总分呈正相关(r=0.253,P<0.05),与ADL评分呈显著负相关(r=-0.381,P<0.01);多元回归分析分析显示,饮水试验阳性、既往窒息史、进食体位、年龄、使用镇静药、自理程度等因素均进入回归方程。结论:年龄、饮水试验阳性、既往有窒息史、进食体位、使用镇静药或抗精神类药、自理程度等因素对于预测老年性痴呆患者窒息风险具有参考价值。更多还原

【Abstract】 Objective To study asphyxia and its influence factors in elderly patients with dementia. Method Based on the MMSE scale ,Evaluation o f 8 0 cases of elderly dementia patients and assessment of patient’s general information 、self-designed asphyxia risk table、 BEHAVE-AD scale、CMAI scale、ADL scale ,respectively . Result Asphyxia risk table scores of elderly patients with dementia had significant differences in age groups(p<0.05);Asphyxia risk table scores associated with drinking test(r=0.789,p<0.01) and total scores of CMAI scale(r=0.253,p<0.05) were positive separately;significant negative relationship with ADL scale scores(r=-0.381,p<0.01); multiple regression analysis showed that drinking test positive、asphyxia history、eating posture 、age、 the use of sedative drugs or psychotropic drugs、degree of self-care entered the regression equation. Conclusion The factors for predicting the risk of asphyxia in elderly patients with dementia have reference value,including age,drinking test positive, asphyxia history ,eating posture ,the use of sedative drugs or psychotropic drugs, degree of self-care and so on.更多还原