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脑卒中后精神障碍临床分析
引用本文:李万春,阮世望,谭文刚,孟晏莉.脑卒中后精神障碍临床分析[J].中国实用医药,2009,4(2):59-60.
作者姓名:李万春  阮世望  谭文刚  孟晏莉
作者单位:河南省驻马店市中心医院神经内科,463000
摘    要:目的探讨脑卒中后精神障碍的临床特点。方法分析110例脑卒中后精神障碍患者的临床资料。结果脑卒中后精神障碍占同期脑卒中住院患者的50.6%(110/217);精神症状以情感障碍多见,占45.5%(50/110),其中出现抑郁状态的患者15例。在积极治疗基础疾病的前提下,采用抗精神病药物和心理治疗相结合的方式进行治疗,精神症状很快消失。结论脑卒中后精神障碍在临床上较为常见,以60岁以上的群体为多,严重影响了患者的身心健康,理应引起重视。

关 键 词:脑卒中  精神障碍  临床特点  心理治疗

A clinic study about psychotic disorder on post-stroke
Institution:LI Wan-chun, RUAN Shi-wang, TAN Wen-gang, et al. (Neurology Department,Zhumadian City Centre Hospital,Henan 463000, China)
Abstract:Objective Study the clinic characteristic of psychotic disorder on post-stroke. Methods Analyze a number of 110 patients' clinicl data. Results The number of patients who showed the symptom of psychotic disorder on post-stroke is 110 in 217 ;sensibilty disorder is the most symptom of the psychotic disorder, its rate is 45.5% ,among them the number of patients that had the symptom of depression is 15. Based on cure the foundational illness, use chlorpromazine and mental therapy, the symptom of psychotic disorder disappeared. Conclusion Post-stroke mental disorders are more common in clinical practice,seen mainly in the 60 years of age groups, which has seriously affected the physical and mental health patients.
Keywords:Post-stroke  Psychotic disorder  Clinic characterisic  Mental therapy
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