1例基于GPM概念化重度神经认知障碍的案例督导  

A Case Study Based on GPM Conceptualization of Severe neurocognitive Impairment

作　　者：王飞 张道龙 许俊杰 邹琳 栾雪 谢兴伟[4] 龙丽英 马静[5] Wang Fei;Zhang Daolong;Xu Junjie;Zou Lin;Luan Xue;Xie Xingwei;Long Liying;Ma Jing(Clinical Medical College of Hunan University of Traditional Chinese Medicine,Changsha Hunan 410208,China;Palo Alto Veterans Medical Center,Palo Alto California CA94304-1207,America;Corning Hospital Chaoyang City Liaoning Province,Chaoyang Liaoning 122000,China;Department of Clinical Psychology Beijing Jiaotong University Hospital,Beijing 100044,China;Department of Clinical Psychology Hunan Brain Hospital,Changsha Hunan 410007,China)

机构地区：[1]湖南中医药大学临床医学院,湖南长沙410208 [2]美国帕洛阿托退伍军人医学中心,加利福尼亚州帕洛阿托CA94304-1207 [3]辽宁省朝阳市康宁医院,辽宁朝阳122000 [4]北京交通大学医院临床心理科,北京100044 [5]湖南省脑科医院临床心理科,湖南长沙410007

出　　处：《生命科学仪器》2024年第3期143-145,共3页Life Science Instruments

摘　　要：本研究探讨1例60岁男性案例,其症状表现为进行性记忆下降5年。诊疗采用GPM模式中的生物遗传、精神动力学和家庭动力学诊断方法,最终诊断为重度神经认知障碍。结合患者过去完全食素的情况,目前考虑亚急性联合变性的可能性较大。生物治疗方面,根据患者体内维生素B12缺乏的情况进行补充;心理治疗方面,可采用一些康复支持治疗措施,以减轻患者部分症状,帮助其恢复社会功能。This study discusses a case of a 60-year-old male with progressive memory loss for 5 years.The diagnosis and treatment adopted the methods of biogenetics,psychodynamics and family dynamics in GPM model,and finally it was diagnosed as severe neurocognitive impairment.Combined with the patient's past complete vegetarian diet,it is more likely to consider subacute combined degeneration at present.Biotherapy,according to the lack of vitamin B_(12)in patients;In psychotherapy,some rehabilitation support measures can be adopted to alleviate some symptoms of patients and help them recover their social functions.

关 键 词：神经认知障碍 亚急性联合变性 GPM 维生素B12 

分 类 号：R743.9[医药卫生—神经病学与精神病学]