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以头晕为主诉的无症状性脑梗死患者焦虑状态的临床分析
引用本文:姜凤英.以头晕为主诉的无症状性脑梗死患者焦虑状态的临床分析[J].中国心理卫生杂志,2004,18(6):429-431.
作者姓名:姜凤英
作者单位:首都医科大学宣武医院心身疾病会诊中心,100053
摘    要:目的:探讨以头晕为主诉的无症状性脑梗死(ACI)患者的情绪状态及临床体验并观察抗焦虑/抑郁治疗的疗效.方法:对98例ACI患者采用汉密尔顿焦虑抑郁量表进行筛查,并根据ICD-10的诊断标准做出诊断后,给予抗焦虑/抑郁药物治疗和支持性心理治疗,以治疗前后的汉密尔顿焦虑量表(HAMA)的减分率和临床症状缓解程度来评定疗效.结果:处于焦虑状态的ACI患者,医检证实均有脑血管系统的轻微病损,头晕史0.5~7年,有心悸、气短、眩晕发作、失眠等自诉躯体症状,67.55%伴有高血压;经帕罗西汀和支持性心理治疗,100%显效,临床症状缓解.结论:以头晕为主诉的ACI患者,若经改善脑血流循环治疗无效者,则应实施抗焦虑/抑郁药物治疗和支持性心理治疗,可望获得良好疗效.

关 键 词:临床心理学  脑梗死  干预研究  焦虑  抗焦虑抑郁治疗  头晕

Anxiety of Asymptomatic Cerebral Infarction Patients with Complaints of Dizziness
JIANG Fengying Consulting Center of psychosomatic diseases,Xuanwu Hospital of the Capital Medical University,Beijing.Anxiety of Asymptomatic Cerebral Infarction Patients with Complaints of Dizziness[J].Chinese Mental Health Journal,2004,18(6):429-431.
Authors:JIANG Fengying Consulting Center of psychosomatic diseases  Xuanwu Hospital of the Capital Medical University  Beijing
Institution:JIANG Fengying Consulting Center of psychosomatic diseases,Xuanwu Hospital of the Capital Medical University,Beijing 100053
Abstract:Objective:To explore the emotion and clinical features of asymptomatic cerebral infarction (ACI) patients with complaints of dizziness and to observe the efficacy of anti-anxiety and antidepressive treatment.Methods:HAMA and HAMD was administered to screen the patients with anxiety and depression and diagnosis was made based on ICD-10 criteria. Anti-anxiety and antidepressive therapy and supportive psychological therapy were used. The reduction rates of the score of HAMA were used to assess the efficacy.Results:The ACI patients had mild impairment of cerebralvascular system, history of 0.5-7 years, physical symptoms of palpitation, shortness of breathing, episode of dizziness and insomnia, and 67.55% of them was accompanied with hypertension. After paroxetine and supportive psychological therapy, all these patients showed clinical improvement.Conclusion:The ACI patients with complaints of dizziness, if no response to the therapy of improving cerebral blood flowing, will reach good efficacy with anti-anxiety/antidepressive therapy and supportive psychological therapy.
Keywords:clinical psychology  cerebral infarction  intervention scudies  anxiety  anti-anxiety  antidepressive therapy  dizziness
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