急性中风的 Delirium 与随着时间的推移增加的认知和精神症状有关:北海岸研究
Elise Gjestad1, Vilde Nerdal2, Ingvild Saltvedt3
1Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway; Clinic of Medicine, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
概括
脑卒中患有妄症的患者可能面临长期的认知和精神问题. 这项研究强调,如果妄想存在,中风后焦虑,抑郁和认知衰退的风险增加.
科学领域:
- 神经学 神经学
- 老年学是一门学科.
- 精神病学是一个精神病学.
背景情况:
- 妄想是急性中风的常见并发症,影响注意力,认知和意识.
- 脑卒中患有痴呆症的患者的长期结果,特别是认知和精神症状,尚未得到充分研究.
研究的目的:
- 调查急性中风患者妄的长期认知和精神病学的后果.
- 评估急性妄想与中风后慢性认知和精神症状之间的关联.
主要方法:
- 在Nor-COAST研究中,373名急性中风患者使用混评估方法 (CAM) 进行了查,以检测他们的痴呆症.
- 334名患者在3,18或36个月的随访数据被分析使用混合模型线性回归.
- 评估了全球认知 (MoCA),焦虑/抑郁 (HADS) 和神经精神症状 (NPI-Q).
主要成果:
- 妄想与3个月后更高的神经精神病学库存得分有关.
- 在18个月和36个月,妄想与较低的认知分数 (MoCA) 和增加的焦虑和抑郁症状 (HADS) 相关.
- 妄想预测幻觉和兴奋,在长期随访时,NPI-Q得分更高.
结论:
- 在中风患者中,急性妄想增加了对慢性认知和精神症状的脆弱性.
- 这些发现强调了监测和管理妄想的重要性,以改善长期中风恢复.
- 需要进一步的研究,以了解病变的机制,并开发治疗中风后痴呆症的干预措施.
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