老年颅脑损伤后并发精神障碍的临床分析及治疗  

Clinical analysis and therapy of elderly mental disorders after brain injury

作　　者：张志华[1] 郭榜虎[1] 郝文光[1] 许信龙 

机构地区：[1]浙江省台州市中医院神经外科,浙江台州318000 [2]江西省九江市红十字医院神经外科,江西九江415000

出　　处：《中国现代医生》2014年第10期27-29,共3页China Modern Doctor

基　　金：江西省卫生适宜技术成果转化计划(2010SWE009)

摘　　要：目的 探讨老年颅脑损伤并发精神障碍致病因素和临床特点,以期提高临床治疗水平.方法 随机选取2011年1月～2013年4月75例老年颅脑损伤并发精神障碍患者为研究对象,分析病情严重程度、损伤部位和并发精神障碍之间关系.结果 颅脑损伤无论轻重其精神障碍类型均以躁狂型和痴呆型为主,分别占全部精神障碍类型的37.33％和29.33％;在损伤部位上,额颞叶精神障碍类型为噪狂型和精神分裂型,而顶叶、多个部位、胼胝体损伤则四种精神障碍类型均可见,脑干损伤则以痴呆型为主.在临床效果上,躁狂型临床效果最满意,治愈率为100％,痴呆型临床效果最差,治愈率为45.45％,其他的抑郁型和精神分裂型治愈率分别为81.82％和57.15％.结论 额叶和颞叶脑挫裂伤以躁狂型最多见,脑干损伤以痴呆型为主,治疗后躁狂型临床效果最满意,痴呆型最差.Objective To investigate elderly mental disorders craniocerebral injury risk factors and clinical characteristics, in order to improve the level of clinical treatment. Methods Randomly selected in January 2011 to 2013 April 75 cases of elderly patients with traumatic brain injury complicated by mental disorders for the study,analysis of the severity of the injury site,and concurrent relationships between mental disorders. Results The severity of head injury regardless of the type of mental disorder were mad noise type and dementia type,accounted for all types of mental disorders in 37.33% and 29.33%; at the site of injury, the type of mental disorder frontotemporal mad type of noise and schizoid type,while the parietal lobe,multiple parts of the corpus callosum were four kinds of damage were visible types of mental disorders, dementia and brain stem injury places main type;clinical effect, wild-type noise most satisfactory clinical results, the cure rate was 100%, the worst type of clinical dementia,the cure rate was 45.45%, the other type of depressive and schizophrenic cure rates were 81.82% and 57.15%. Conclusion The frontal and temporal lobe brain contusion to noise mad most common type, brain stem injury to dementia type,treatment,wild -type noise after the most satisfactory clinical results, dementia worst.

关 键 词：老年颅脑损伤 精神障碍 

分 类 号：R749.12[医药卫生—神经病学与精神病学]