表现为精神症状的麻痹性痴呆病例研究  

Research of medical cases of paralytic dementia with manifestations as psychiatric symptoms

作　　者：叶海标[1] 

机构地区：[1]广东省佛山市第三人民医院,528041

出　　处：《中国实用医药》2017年第18期137-138,共2页China Practical Medicine

摘　　要：目的对主要表现为精神症状的麻痹性痴呆患者临床特征进行分析,以对其诊治要点进行探讨。方法回顾性分析60例麻痹性痴呆患者的临床资料。结果 60例患者中,47例被首次检查明确确诊为麻痹性痴呆,确诊率为78.3%(47/60),经治疗后,所有患者均有明显好转,简易精神状态评价量表(MMSE)评分由治疗前的(11.33±0.12)分上升为(16.32±0.51)分,血清甲苯胺红不加热血清试验(TRUST)滴度由治疗前的(5.31±0.29)下降为(4.68±0.37)。结论虽然以精神症状为主的麻痹性痴呆诊断有一定难度,但早期确诊并及时干预可使患者预后得到有效改善。Objective To analyze clinical characteristics of paralytic dementia patients with manifestations as psychiatric symptoms, in order to investigate key points for diagnosis and treatment. Methods Clinical data of 60 patients with paralytic dementia were taken into retrospective analysis. Results Among the 60 patients, there were 47 cases with confirmed diagnosis of paralytic dementia at their first examination, with diagnosis rate as 78.3%（47/60）. After treatment, all patients showed obvious improvement, along with increased mini-mental state examination（MMSE） score from（11.33±0.12） point before treatment to（16.32±0.51） points after treatment, and reduced tolulized red unheated serum test（TRUST） titer from（5.31±0.29） before treatment to（4.68±0.37）. Conclusion Although there is certain difficulty for diagnosing paralytic dementia with manifestations as psychiatric symptoms, early diagnosis and timely intervention can provide effective improvement for prognosis of patients.

关 键 词：麻痹性痴呆 精神症状 诊治 

分 类 号：R749.1[医药卫生—神经病学与精神病学]