38例颅脑损伤后精神障碍患者的治疗体会  

Treatment experience of 38 patients with mental disorder after craniocerebral injury

作　　者：谢成金[1] 刘光普[1] 李劲松[1] 

机构地区：[1]梅州市人民医院,广东梅州514031

出　　处：《中医临床研究》2018年第18期17-18,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨38例颅脑损伤后精神障碍患者的治疗体会。方法:回顾性分析2013年1月—2017年1月在我院颅脑外科治疗的38例颅脑损伤后精神障碍患者的临床资料,精神障碍多发生于伤后早期,其中躁狂型21例、抑郁型4例、痴呆型11例、精神分裂型2例,均在治疗原发性颅脑损伤的基础上给予抗精神病药物治疗。结果:所有患者中,痊愈28例,显效6例,有效3例,无效1例,总有效率为97.37%;随访1~2年,复发2例,经治疗后痊愈。结论:颅脑损伤后精神障碍治疗以原发性脑损伤为主,辅助使用抗精神病药物,精神症状可逐渐减轻,治愈率较高,若治疗不及时可加重病情,因此早期的干预治疗至关重要。Objective:To explore the treatment experience of 38 patients with mental disorder after craniocerebral injury.Method:Retrospective analysis of the clinical data of 38 patients with mental disorders after brain injury in our hospital from January 2013 to January 2017 was made.Early after injury,mental disorders included 21 cases of manic type,4 cases of depression,11 cases of dementia and 2 cases of schizoi,all the patients were given antipsychotic drugs on the basis of the treatment of primary craniocerebral injury.Results:Of all the patients,28 cases were cured,6 cases were significantly effective,3 cases were effective,1 case was ineffective,and the effective rate was 97.37%.All the patients were followed up for 1~2 years,and recovered after treatment.There was 2 cases of recurrence.Conclusion:Mental disorder after craniocerebral injury treatment was given priority to in treating primary brain injury,supported by the use of antipsychotic drugs,mental symptoms could be reduced gradually,the cure rate was higher,untimely treatment would aggravate illness,so early intervention was important.

关 键 词：颅脑损伤后精神障碍 临床表现 治疗体会 

分 类 号：R255.2[医药卫生—中医内科学]