广泛性焦虑症的鉴别诊断模式  

The differential diagnosis model of generalized anxiety disorder

作　　者：陈光敏[1] 

机构地区：[1]广东省湛江市广东医学院附属医院,广东湛江524001

出　　处：《中医临床研究》2011年第22期105-107,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨广泛性焦虑症鉴别诊断的规范化方法,提高准确性。方法采用必备组合症状、病因、内在关系、严重程度、病程、排除症状和非器质性病变基础共七方面做为广泛性焦虑症鉴别诊断模式的要素,用神经症二重辩证施治进行临床验证。结果:广泛性焦虑症与伴发广泛性焦虑症样症状的其他疾病相比,具有明显的差异。其中必备组合症状、病因和内在关系,是鉴别诊断的核心;排除症状、非器质性病变基础,也很重要,但在某些特定情况下是否成为鉴别诊断的依据,要视情况而定;严重程度和病程有一定的意义。结论:广泛性焦虑症的鉴别诊断模式具备了更加缜密规范准确的优点。To investigate standardized methods of the differential diagnosis of generalized anxiety disorder and to improve the accuracy of diagnosis.Method Adopt dual treatment according to syndrome differentiation to test the clinical effect of the differential diagnosis model for generalized anxiety disorder,which includes seven factors as necessary combination of symptoms,causes,inherent relationship,severity,duration,exclusion symptoms and non-basic organic lesion.Result There were significant differences between generalized anxiety disorder and diseases associated with generalized anxiety disorder-like syndrome.The core of differential diagnosis is the necessary combination of symptoms,causes,and inherent relationship.Exclusion symptoms and non-basic organic lesion are also important,however,it depends on specific situation whether these two factors can be adopted as the diagnostic criterion.Severity and duration contribute to differential diagnosis to some extent.Conclusion The differential diagnosis model of generalized anxiety disorder has the advantage of precision,standardization and accuracy.

关 键 词：广泛性焦虑症 鉴别诊断 模式 

分 类 号：R749.055[医药卫生—神经病学与精神病学]