强迫症病人自知力与神经软体征的相关性  

CORRELATION BETWEEN INSIGHT AND NEUROLOGICAL SOFT SIGNS IN PATIENTS WITH OBSESSIVE-COMPULSIVE DISORDER

作　　者：郭艳红[1] 梁瑞华[1] 

机构地区：[1]青岛市精神卫生中心精神一科,山东青岛266034

出　　处：《齐鲁医学杂志》2015年第1期49-51,共3页Medical Journal of Qilu

摘　　要：目的 探讨强迫症病人自知力与神经软体征的相关性。方法 门诊强迫症病人68例,应用耶鲁-布朗强迫量表（Y-BOCS）第11条评价病人自知力,剑桥神经系统检查清单（CNI）评定病人的神经软体征。结果 自知力较差（≥3分）者31例（45.6%）,自知力较好者37例（54.4%）。自知力较差组病人原始反射中的掌颏反射、感觉统合功能中的感觉消失测验、手指感觉测验、总的感觉统合功能评分均高于自知力较好组,差异有显著性（t=2.050-3.383,P〈0.05）。结论 强迫症病人的自知力与病人的神经软体征有一定的相关性。Objective To explore the relationship between insight and neurological soft signs （NSS） in patients with obsessive-compulsive disorder （OCD）. Methods Item 11 of Y-BOCS and Cambridge Neurological Inventory were used to assess the insight and NSS, respectively, in 68 outpatients with OCD. Results According to item 11 of Y-BOCS, 45.6% of the patients had poor insight and 54.4% had good insight. The scores of palmomental reflex, sensory deprivation test, finger sensory test and sensory integration function were higher in patients with poor insight （t=2.050-3.383,P〈0.05）. Conclusion There is a certain correlation between insight and neurological soft signs in patients with obsessive compulsive disorder.

关 键 词：强迫性人格障碍 自知力 神经软体征 

分 类 号：R749.75[医药卫生—神经病学与精神病学]