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脑卒中后精神障碍的临床研究
引用本文:王焕林,丁素菊,孙剑,余海鹰,高柏良,蔡剑虹,宋郑宏,戴永干. 脑卒中后精神障碍的临床研究[J]. 中国神经精神疾病杂志, 1992, 0(5)
作者姓名:王焕林  丁素菊  孙剑  余海鹰  高柏良  蔡剑虹  宋郑宏  戴永干
作者单位:中国人民解放军102医院,上海长海医院神经科,中国人民解放军102医院,中国人民解放军102医院,中国人民解放军102医院,常州德安医院,常州德安医院,上海长海医院神经科 南京军区精神医学研究所,南京军区精神医学研究所,南京军区精神医学研究所,南京军区精神医学研究所
摘    要:采用DSM—Ⅲ诊断标准对104例住院脑卒中患者的精神障碍进行诊断。结果表明:本组病例的精神障碍发生率为46.2%,其中脑卒中后重性抑郁(PSD)、抑郁性神经症(DN)、多发性梗塞痴呆(MID)和脑卒中后躁狂(PSM)发生率分别为22.1%、11.5%、8.7%及3.8%。研究发现抑郁性障碍与额部或左基底节损害有明显联系,PSM则与右半球损害有关。对脑卒中后精神障碍的发生机理作了初步探讨。

关 键 词:脑卒中  抑郁  躁狂  痴呆

Clinical study of mental disorders in post-stroke patients.
Wang Huanlin,et al.. Clinical study of mental disorders in post-stroke patients.[J]. Chinese Journal of Nervous and Mental Diseases, 1992, 0(5)
Authors:Wang Huanlin  et al.
Affiliation:Wang Huanlin,et al. the 102nd Hospital of PLA,Changzkou. 213003
Abstract:The mental disorder has been studied by means of DSM-I diagnostic criteria in 104 of hospitalised stroke patients.The results revealed that the prevalence of mental disorder was 46.2% in post-stroke patients.The prevalence of post-stroke depression (PSD),depressive neurosis (DN),multiple infract dementia (MID),and post-stroke mania (PSM) were 22.1%,11.5%,8.7%,and 3.8% respectively.It was indicated that the lesions of frontal cortex and left basal ganglia were strongly associated with depressive disorders,while PSM was significantly associated with the lesions locating in right hemisphere.The mechanisms of these disorders were briefly discussed.
Keywords:Stroke DepressionMania Dementia
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