住院躁狂和抑郁症患者症状调查  

The Investigation and Analysis of Symptoms in Manic - depressive Disorder

作　　者：潘玉凤[1] 陆明康[2] 王明兰[1] 亓桂香 侯爱芝 

机构地区：[1]山东省泰安市精神卫生中心,271000 [2]上海市精神卫生中心

出　　处：《神经疾病与精神卫生》2002年第4期217-219,共3页Journal of Neuroscience and Mental Health

摘　　要：目的 调查住院躁狂和抑郁症的症状分布和频度。方法 用中国精神疾病分类方案与诊断标准(CCMD-2-R)关于躁狂和抑郁症的症状标准所列的症状和躁狂量表(BRMS)、抑郁量表(HAMD)作为调查工具,对符合诊断标准的276例住院患者作症状调查。结果 94例躁狂发作者中其症状分布和频度为语言明显增多78例次(83.0％),睡眠需要减少且不感疲乏59例次(62.8％),自我感觉良好55例次(58.5％),自我评价过高48例次(51.1％),活动增多41例次(43.6％),联想增快39例次(41.5％)。BRMS评定11项症状包括情绪高涨和性欲增加占52.9％,其中有10项超过84.5％。182例抑郁发作者中对日常生活丧失兴趣126例次(69.2％),失眠(含早醒)113例次(62.1％),精力明显减退和持久疲乏感97例次(53.3％),自我评价过低88例次(48.4％),想死的念头85例次(46.7％),食欲不振和体重减轻78例次(42.9％)。HAMD测定24项症状中有15项症状出现率超过50.0％。结论 躁狂发作者以言语明显增多,睡眠需要减少,自我感觉良好和自我评价过高最多见(>50.0％)。抑郁发作者中以丧失兴趣,失眠(含早醒),精力明显减退,自我评价低最多见(>58.0％),与BRMS量表和HAMD量表症状排列及出现率有差别。To investigate the distribution and frequency of symptoms in manic- depressive disorder. Methods Chinese Mental Disorders and BRMS and HAMD were used as diagnostic Standard and the symptoms of hospitalized 276 patients met with the diagnostic Standard. Results in 94 patients with mania, the disff頱ution and frequency of their symptoms were shown with talkativeness in 78 cases (83. 0%), less sleep required in 59 cases (62.8% ), self feeling perfectly in 55 cases (58.5% ), self- evaluation very high in 48 cases (51.1%), over activity in 41 cases (43.6 % ), increased association in 39 cases (41.5 % ). In the 11 items of symptoms in BRMS, besides the elevation of mood and sexual desires increasing account for 52.9% the other 10 items of symptoms account for more 84. 5% . In 182 patients with depression, the loss of inter-esting daily life was seen in 126 cases (69. 2% ), insomnia (including in early morning waking) in 113 cases (62.0% ), reduced energy and lasting tiredness in 97 cases (53. 3% ), self- evaluation very low in 88 cases (48.4 % ), suicidal ideas in 85 cases( 46.7 % ), lack of appetite and weight loss in 78 cases (42. 9 % ). Nine items from the 24 items of HAMD, besides the depersonalization, derealization, paranoid symptoms and ob-session, the incidental rate of rest 15 items occupies more than 50. 0% . Conclusions in this group, it is found that there are more talkativeness, less sleep required, self - evaluation in the patients with mania (>50.0%), and there more often loss of interest in daily life, insomnia (including in early morning wak-ing), reduced energy apparently and self - evaluation very low ( > 58.0 % ). These findings are diff erent from the ranging symptoms in BRMS and HAMD.

关 键 词：躁狂症 抑郁症 症状 频度 住院患者 

分 类 号：R749.4[医药卫生—神经病学与精神病学]