摘要
目的 探讨不同发病年龄老年期情感障碍的临床差异.方法 收集2010年3月～2014年3月诊治的老年期情感障碍患者120例作为研究对象,以初发年龄60岁为界将患者分为老年组和老年前期组各60例,采用回顾性方式分析不同发病年龄的老年期情感障碍的临床差异.结果 老年组患者在性格内向方面显著高于老年前期组（P＜0.05）,老年组患者的治疗不良反应发生率及躯体症状也显著高于老年前期组（P＜0.05）;老年组患者的单相抑郁病期为（37.24±11.36）周,老年前期组为（18.54±8.39）周,老年组明显长于老年前期组（P＜0.05）;老年组患者自杀倾向及发病缓起的患者均多于老年前期组（P＜0.05）.结论 大部分老年期情感障碍患者不具有明显的临床症状,但在60岁之前发病与60岁之后发病的患者在性格内向、单向抑郁病期、自杀倾向、发作频度、发病缓起及治疗不良反应等方面均存在差异,由此提示老年期情感障碍有异源性特征.
Objective To explore the clinical difference of emotional disorders on different onset ages. Methods 120 patients with affective disorder were divided into elderly group （60 cases） and the early stage of the elderly group （60 cases）. The clinical data were analyzed. Results Introverted and single-phase depression of elderly group was signifi- cantly higher than in the early stage of the elderly group （P〈0.05）. The treatment of patients with elderly group had a significantly higher incidence of adverse reactions and somatic symptoms than that of the early stage of the elderly group （P〈 0.05）. The duration of single-phase depression of elderly group （37.24±11.36 weeks） was longer than that of the elderly group （18.54-8.39 weeks） （P〈0.05）. Conclusion Most of the old age patients with affective disorder does not have obvious clinical symptoms, pathogenesis. The old age emotional disorders is heterogeneous.
出处
《西部医学》
2015年第6期853-855,共3页
Medical Journal of West China
基金
四川省卫生厅科研课题(100346)
关键词
不同发病年龄
老年期情感障碍
老年前期
临床差异
Different onset ages
Old age emotional disorders
Presenium
Clinical differences
