吸食冰毒后共病病理性赌博及拔毛癖1例  

Comorbidity of Pathological Gambling and Trichotillomania After Taking Methamphetamine:A Case Report

作　　者：段炼[1] 蓝晓嫦[1] 范妮[1] DUAN Lian;LAN Xiaochang;FAN Ni(Substance Dependence Department,the Affiliated Brain Hospital of Guangzhou Medical University,Guangzhou 510370,Guangdong,China)

机构地区：[1]广州医科大学附属脑科医院物质依赖科,广东广州510370

出　　处：《中国药物滥用防治杂志》2022年第11期1553-1556,1561,共5页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：广州市医学重点学科(编号:2021-2023)。

摘　　要：冰毒,主要成分是甲基苯丙胺,目前已有共识甲基苯丙胺可引起精神病障碍。本病例报道1例患者吸食冰毒后出现精神病性障碍,主要表现为被害妄想、关系妄想、嫉妒妄想、情绪不稳定等。在戒断冰毒后长达6年时间内,患者仍然存在妄想等精神病性症状,同时出现共病两种冲动控制障碍,包括病理性赌博和拔毛癖,以及另一种其他精神活性物质依赖,咖啡因依赖。本文从物质依赖和行为成瘾/冲动控制障碍共病的角度,对本病例进行报道,以及对患者的诊断、疾病发病机制以及治疗等方面进行分析讨论。There is a consensus that methamphetamine can cause mental disorders.This case reported that a patient had psychotic disorder after taking methamphetamine,mainly manifested as persecution delusion,reference delusion,jealousy delusion,emotional instability and so on.Up to six years after drug withdrawal,patients still have psychotic symptoms such as delusions,and at the same time,there are two kinds of comorbid impulsive control disorders,including pathological gambling and hair pulling,and another kind of other psychoactive substance dependence,caffeine dependence.This paper reports this case from the perspective of comorbidity of substance dependence and behavioral addiction/impulse control disorder,and analyzes and discusses the diagnosis,pathogenesis and treatment of patients.

关 键 词：甲基苯丙胺 共病 行为成瘾 病理性赌博 拔毛癖 

分 类 号：R749.64[医药卫生—神经病学与精神病学]