老年躯体疾病伴发谵妄的诊疗进展

doi:10.3969/j.issn.1003-9198.2026.08.004

Abstract

Abstract: With the ongoing advancement of population aging, the incidence of delirium has significantly increased among elderly patients with somatic diseases. This condition is characterized by high rates of missed diagnosis, poor prognosis, elevated mortality, and a tendency to accelerate cognitive decline. Currently, numerous limitations persist in the study of delirium, including challenges in early identification, nonstandardized assessment methods, and inconsistent intervention strategies. In recent years, continuous advancements in clinical classification, risk prediction, neuroimaging assessment methods, and comprehensive prevention and treatment approaches have provided new directions for the precise diagnosis and management of delirium associated with somatic diseases in elderly patients. This article systematically reviews the research progress regarding its clinical characteristics and classification, risk factors, assessment techniques, intervention strategies, and management protocols, summarizes current diagnostic and therapeutic challenges as well as future development directions, and to provide a theoretical foundation for optimizing the standardized diagnosis and treatment framework for geriatric delirium.

Key words: aged, somatic diseases, delirium, risk factors, assessment, intervention

CLC Number:

R 749.2

WANG Lanlan, JI Yunxin. Diagnosis and treatment progress of delirium in elderly patients with somatic diseases[J]. Practical Geriatrics, 2026, 40(8): 770-774.

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Diagnosis and treatment progress of delirium in elderly patients with somatic diseases

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