45例癫痫性精神障碍的临床分析

目的：分析癫痫性精神障碍的临床特点和分类，探讨癫痫和精神障碍的关系，提高本病的诊断率和疗效。方法：Y445例癫痫性精神障碍患者进行回顾性研究并复习文献。结果：癫痫性精神障碍的误诊率为13．3％，根据CCMD—Ⅲ诊断标准，45例患者中癫痫性精神病26例（57．78％），人格改变10例（22．22％），痴呆型8例（17．78％），意识障碍5例（11．11％），神经症综合征1例（2．22％），遗忘综合征1例（2．22%，），情感障碍1例（2．22％）。结论：癫痫性精神障碍以精神病型最常见。易误诊为精神分裂症和抑郁症，临床上应予鉴别，以降低误诊率，提高疗效。

Clinical Analysis of 45 Patients with Epileptic Mental Disorder

Objective:Analyze the clinical characteristic and categories of epileptic mental disorder to explore the relationship between epilepsy and mental disorder and promote the diagnostic rate and curative effect. Methods:45 patients with epileptic mental disorder were analyzed by retrospective and data were reviewed. Results: The misdiagnosis rate was 13.3%. According to the CCMD- III diagnosis standard ,the category of the patients were as follows: 26 cases were epilepsy with schizophrenia, 19 cases were epilepsy with dementia ,8 cases were epilepsy with personality disorder, 5 cases were epilepsy with consciousness disorder ,1 case were epilepsy neurotica ,lcase were epilepsy with oblivion, lcase was epilepsy with emotional disorder respectively. Conclusions:Psychotic symptom were the most common in epileptic mental disorder. They are often misdiagnosed as Schizophrenia and depression,it should be distinguished in order to reduce misdiagnosis rate and improve curative effective.