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頁籤選單縮合
題 名 | 老年譫妄症=Delirium in Older Persons |
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作 者 | 劉建良; 陳亮恭 ; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
卷 期 | 6:1 2011.02[民100.02] |
頁 次 | 頁1-14 |
分類號 | 415.9518 |
關鍵詞 | 譫妄; 病理機轉; 老年人; Delirium; Pathogenesis; Older persons; |
語 文 | 中文(Chinese) |
中文摘要 | 譫妄在老年族群中是一常見卻容易被忽略的症候,在失智老人更是常見。常見症狀有注意力不集中、無結構性思考與急性波動性的意識改變。病人本身的狀況、使用的藥物與環境都會造成譫妄。目前已知的疾病機轉包含神經傳導物質調控異常、發炎、急性壓力與神經元損傷等四種。在疾病診斷方面,失智症、精神病或憂鬱症容易與譫妄產生混淆,尤其是低活動度型的譫妄,更不容易區分其差異。譫妄處理應以預防為主,入院後需立即評估認知功能與意識狀態,且定期追蹤認知功能,以利早期發現與處理,進而減少譫妄的發生及後續的後遺症。 |
英文摘要 | Delirium is common but hard to be detected in older persons, especially in patients with dementia. Inattention, disorganized thinking and acute changes or fluctuations in mental status are some of the typical presentations of delirium. Delirium is often multi-factorial and may be induced by a combination of factors related to patient, environment and medication. The hypotheses for the pathogenesis of delirium focus on the roles of neurotransmission, inflammation, acute stress and neuronal damage. Regular cognitive evaluation should be practiced in order to facilitate early detection and early intervention of delirium in older patients. Sometimes, delirium may lead to long-term cognitive impairment. Therefore, understanding how to prevent and manage delirium is essential for improving the quality of life in older persons. |
本系統中英文摘要資訊取自各篇刊載內容。