苯丙胺类兴奋剂所致精神障碍临床及随访观察  

Clinical and follow-up observation of mental disorder due to amphetamine type stimulants

作　　者：张小红[1] 王伟勇[1] 

机构地区：[1]南京医科大学附属脑科医院,210029

出　　处：《临床精神医学杂志》2009年第5期304-306,共3页Journal of Clinical Psychiatry

基　　金：南京卫生局资助项目(ZKM06059)

摘　　要：目的:了解苯丙胺类兴奋剂(ATS)所致精神障碍的易感人群,临床症状,误诊原因和复发等情况。方法:回顾性分析28例ATS所致精神障碍的临床资料并进行随访。结果:患者平均年龄为(29.7±6.1)岁,其中未婚占71.4%,初中以下文化程度占67.8%,无固定工作者居多,门诊误诊率达96.3%,入院后误诊率达25.0%,主要误诊为精神分裂症,78.6%表现为幻觉-妄想状态,痊愈35.7%,再发21.7%。结论:无业、未婚的青年人为ATS易感人群,使用ATS可造成严重的精神障碍,仅凭临床症状很容易误诊为精神分裂症,早期发现,早期治疗尤为重要。Objective： To investigate the vulnerable population, clinical symptoms, misdiagnostic cause and relapse phenomena of mental disorders due to amphetamine type stimulants （ATS）. Method： Clinical data of 28 cases with mental disorders due to abuse of ATS were retrospectively analyzed and the patients were followed up. Results：The average age of patients was （29.7 ± 6.1 ）years old,71.4% patients were unmarried, patients with middle school education accounted for 67.8%. Most patients were unemployed. The rate of misdiagnosis were 96.3 % in outpatients, and 25.0% in inpatients. These patients were mainly misdiagnosed as schizophrenia. 78.6% patients were with delusion-hallucinations,35.7% recovered and 21.7% relapsed. Conclusion： Unemployed,single young persons are vulnerable to mental disorders due to amphetamine, ATS use can cause severe mental disorders, which are easy to be misdiagnosed as schizophrenia only according to clinical symptoms. Early finding and early treatment are very important.

关 键 词：苯丙胺类兴奋剂 精神障碍 误诊 

分 类 号：R749.6[医药卫生—神经病学与精神病学]