老年患者脱水和主要神经认知障碍的病因亚型之间的关系
Damla Aslan Kirazoglu1, Cihan Heybeli2, Kübra Atcıyurt1
1Department of Internal Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey.
European geriatric medicine
|May 16, 2024
概括
脱水在患有主要神经认知障碍 (MND) 的老年人中比没有这种疾病的老年人更为常见. 对所有老年人来说,监测水分是至关重要的,因为高血压和失水症等危险因素会增加痴呆症患者的脱水风险.
科学领域:
- 老年病的医生 老年病的医生
- 神经学 神经学
- 内部医学 内部医学
背景情况:
- 脱水是老年人常见的担忧,但它与主要神经认知障碍 (MND) 和其亚型的关联仍未得到充分研究.
- 了解认知障碍或没有认知障碍的人群的脱水患病率和危险因素对于老年护理至关重要.
研究的目的:
- 调查患有或没有MND (痴呆症) 的老年人脱水的患病率和危险因素.
- 为了检查MND的各种病因学亚型的脱水频率.
主要方法:
- 来自老年门诊的65岁以上成年人的横截面研究.
- 脱水的定义是血度> 295 mOsm/L.
- 根据DSM-5标准诊断的MND;根据特定标准确定的亚型.
主要成果:
- 脱水在患有痴呆症 (58%) 的患者中比没有 (53%) 的患者更为普遍.
- MND与脱水有关 (OR 1.26),不依赖年龄和性别.
- 在痴呆症患者中,脱水,高血压,糖尿病 (DM),慢性脏病 (CKD) 和失水症更为常见.
结论:
- 脱水与MND有轻微的关联,但在认知健康的老年人中也很常见.
- 建议对所有老年人进行水分状态监测,无论神经认知状态如何.
- 高血压,DM,CKD,消化不良和认知严重程度与痴呆症患者的脱水有关,血管痴呆症的患病率最高.
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