脑血管病所致精神障碍100例临床特点分析  

Analysis of clinical characteristics in 100 mental disorders cases caused by cerebrovascular disease

作　　者：张雨时[1] 

机构地区：[1]沈阳二四二医院神经内科,110034

出　　处：《中国实用医药》2015年第13期13-14,共2页China Practical Medicine

摘　　要：目的对脑血管病所导致的精神障碍患者出现的精神症状的表现形式以及特点进行研究分析。方法选取脑血管病所致精神障碍患者100例,根据不同标准将所有的患者进行3次分组。其中处于急性期的患者52例(急性期组),恢复期48例(恢复期组);双侧组的患者有54例,单侧组的患者有46例;高血压组的患者42例,非高血压组的患者58例。分析不同组别患者精神症状的比例关系。结果急性期组谵妄比例高于恢复期组,双侧组抑郁、焦虑比例高于单侧组,高血压组抑郁比例高于非高血压组,差异均具有统计学意义(P<0.05)。结论脑血管病所致精神障碍患者所出现的症状和患者的发病期以及发病部位都有着紧密的联系,在临床治疗的过程中需要引起关注和重视。Objective To provide investigation and analysis for manifestations and characteristics of mental symptoms in patients with mental disorders caused by cerebrovascular disease.Methods A total of 100 patients with mental disorders caused by cerebrovascular disease were selected, and they were divided by different standards for 3 sets of groups. There were 52 cases in acute stage （acute stage group） and 48 cases in recovery stage （recovery stage group）. The bilateral group contained 54 cases, and unilateral group contained 46 cases. The hypertension group had 42 cases, and non-hypertension group had 58 cases. Proportional relation and mental symptoms in different group sets were analyzed.Results The acute stage group had higher proportion of delirium than the recovery stage group; the bilateral group had higher proportion of depression and anxiety than the unilateral group; the he hypertension group had higher proportion of depression than the non-hypertension group, and their differences all had statistical significance （P〈0.05）.Conclusion There is a close correlation between symptoms in patients with mental disorders caused by cerebrovascular disease and their period and position of disease. It is necessary for attention and focus in clinical treatment.

关 键 词：脑血管病 精神障碍 临床特点 

分 类 号：R743[医药卫生—神经病学与精神病学]