痴呆患者行为与心理症状(BPSD)的治疗策略

R Torta, E Badino, A Scalabrino
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引用次数: 8

摘要

在以认知障碍为特征的疾病中,经常观察到行为改变的出现,特别是躁动和/或攻击。在痴呆症中,认知症状通常与精神症状相关,如人格、情绪、行为和“精神病”障碍,目前定义为痴呆症的行为和心理症状(BPSD),是这些患者住院的主要原因。在不同的药物类别中,由于BPSD发生的复杂性,具体治疗的选择主要与不同分子的安全性有关,其中非典型抗精神病药物是首选药物类别。
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Therapeutic strategies for behavioral and psychological symptoms (BPSD) in demented patients.

In the context of the diseases characterized by cognitive impairment, the appearance of behavioral modifications is frequently observed, in particular agitation and/or aggression. In dementia, cognitive symptoms are often associated with psychiatric symptoms, such as personality, mood, behavioral and "psychotic" disorders, at present defined as behavioral and psychological symptoms of dementia (BPSD), representing the main cause of hospitalization for these patients. Among the different pharmacological classes, justified by the complex genesis of BPSD, the choice of a specific treatment is mainly related with the safety of different molecules, among which atypical antipsychotics are the first choice class.

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