佛山市神经内科患者痴呆患病情况调查分析

摘要

目的：探讨佛山市神经内科痴呆患者严重程度危险因素及预防方案。方法选取2013年1月至2014年2月我市各个医院神经内科收治220例痴呆患者为研究对象，按照痴呆严重程度分为轻、中、重度三组，分析三组患者性别、年龄、文化程度、婚姻状况、经济状况及相关疾病情况，探讨影响患者痴呆严重程度相关危险因素，并提出预防措施。结果随着痴呆程度增高，女性患者、年龄大患者、文化程度低患者、有脑卒中、脑外伤及颅内感染史患者占有比例越高，三组间各值比较有统计学意义（ P＜0．05）；性别、年龄、文化程度、脑卒中、脑外伤及颅内感染为痴呆发生危险因素。结论性别、年龄、文化程度、脑卒中、脑外伤及颅内感染为痴呆发生及加重危险因素，临床应有针对性控制危险因素，以降低痴呆发生、延缓痴呆病情加重。%Objective We were going to explore the order of severity and risk factors and prevention scheme for dementiapatients in department of neurology in Foshan. Methods From January2013 to February2014, 220 cases of dementia patientsadmitted to the department of neurologyin hospitals in our city were chose as the research object, according to the severity of dementia they were divided into three groups including mild, middle and severe group.Analyzedthe sex, age, culture degree, marriage status, economic status and related disease, and analyzed the related risk factors which affecting severity of dementiaand put forward the prevention measures.Results With the degree of dementia increased, the percentage of female patients, older patients, patients with low cultural level, stroke, traumatic brain injury and patientswith a history ofintracranial infectionincreased, the differencesamong the three groups were statistically significant (P<0.05).Gender, age, culture degree, stroke, traumatic brain injury and intracranial infection were risk factors for dementia. Conclusions Gender, age, culture degree, stroke, traumatic brain injury and intracranial infection were risk factorsfor dementia.Clinician should be target on controlling risk factors, in order to reduce the occurrence of dementia and delay the development of dementia illness.