Kimmy1349 發問時間: 社會與文化語言 · 6 年前

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Falls are frequent in the elderly and affect mortality, morbidity,loss of functional capacity and institutionalization.

In the older patient the incidence of falls can sometimes be underestimated, even in the absence of a clear cognitive impairment, because it is often difficult to reconstruct the dynamics. It is quite common that forms due to syncope are associated with retrograde amnesia and in 40 to 60% of the cases falls happen in the absence of witnesses.

The pathogenesis of falls is often multifactorial,due to physiological age-related changes or more properly pathological factors, or due to the environment.

The identification of risk factors is essential in the planning of preventive measures. Syncope is one of major causes of falls. About 20% of cardiovascular syncope in patients older than 70 appears as a fall and more than 20% of older people with Carotid Sinus Syndrome complain of falls as well as syncope.

These data clearly state that older patients with history of falls should undergo a cardiovascular and neuroautonomic assessment besides the survey of other risk factors.

Multifactorial assessment requires a synergy of various specialists. The geriatrician coordinates the multidisciplinary intervention in order to make the most effective evaluation of the risk of falling,searching for all predisposing factors, aiming towards a program of prevention.

In clear pathological conditions it is possible to enact a specific treatment. Particular attentionmust indeed be paid to the re-evaluation of drug therapy, with dose adjustments or withdrawal especially for antihypertensive, diuretics and benzodiazepines.

2 個解答

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  • 旻安
    Lv 6
    6 年前
    最佳解答

    瀑布是頻繁在老年人中,影響死亡率、 發病率、 功能能力和制度化的損失。在老年患者中的瀑布發病率可以有時被低估,甚至在沒有清晰認知功能障礙,因為往往很難重建動態。它是很常見的形式由於暈厥是逆行性失憶症與相關聯,在 40 到 60%的案件中瀑布發生在證人沒有出庭。瀑布的發病往往是多因素,與年齡有關的生理變化或更恰當地病理因素,或由於環境的。查明的風險因素是規劃中的預防性措施必不可少的。暈厥是瀑布的主要原因之一。約 20%的心血管暈厥在 70 以上老年人作為一個秋天出現,超過 20%的老年人頸動脈竇綜合征抱怨的瀑布,以及暈厥。清楚地說明這些資料的瀑布歷史的老年患者應接受心血管和 neuroautonomic 的評估調查除了其他風險因素。多因素評估要求不同領域的專家的協同的作用。老化座標的多學科的干預,使風險的下降,尋找所有易感因素,最為有效的評價,爭取以預防的程式。在明確病理條件下有可能要制定具體的治療。特別是 attentionmust 的確須付予藥物治療,劑量調整或撤銷特別為抗高血壓、 利尿劑和雜的重新評估。

  • 6 年前

    瀑布是頻繁在老年人中,影響死亡率、 發病率、 功能能力和制度化的損失。在老年患者中的瀑布發病率可以有時被低估,甚至在沒有清晰認知功能障礙,因為往往很難重建動態。它是很常見的形式由於暈厥是逆行性失憶症與相關聯,在 40 到 60%的案件中瀑布發生在證人沒有出庭。瀑布的發病往往是多因素,與年齡有關的生理變化或更恰當地病理因素,或由於環境的。查明的風險因素是規劃中的預防性措施必不可少的。暈厥是瀑布的主要原因之一。約 20%的心血管暈厥在 70 以上老年人作為一個秋天出現,超過 20%的老年人頸動脈竇綜合征抱怨的瀑布,以及暈厥。清楚地說明這些資料的瀑布歷史的老年患者應接受心血管和 neuroautonomic 的評估調查除了其他風險因素。多因素評估要求不同領域的專家的協同的作用。老化座標的多學科的干預,使風險的下降,尋找所有易感因素,最為有效的評價,爭取以預防的程式。在明確病理條件下有可能要制定具體的治療。特別是 attentionmust 的確須付予藥物治療,劑量調整或撤銷特別為抗高血壓、 利尿劑和雜的重新評估.

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