脑血管疾病患者162例精神障碍的临床观察

目的探讨脑血管病患者继发精神障碍的临床特点.方法对162例病人确诊后至1月内精神量表洲验;1年随访对比进行综合分析.结果脑卒中后精神障碍发生率为47.55%,其中早期占28.84%,晚期占18.69%.分类:抑郁症(77.92%),人格障碍(14.29%),其它(7.79%).其发生率与病灶部位有显著性差异(P<0.05).与卒中类型无明显差异(P>0.05),结论脑卒中后精神障碍发生率高,主要为抑郁症,应早期抗抑郁治疗,促使神经功能恢复.

Clinical observation on psychotic impedirnent of cerebrovascular patients 162 case

Objective To study the clinical characteristics on cerebrovascular patients following psychopath.Methods 162 cases were analyzed with psycho scales in a month and following up and synthetically analysis after a year.Rrsults The total attract rate was 47.36% after the disease and early stage was 28.84%.The data was classified on depression 78.1%,psychopathic 14.06% and others 7.84%.Arrack rate with focus of the disease have significant difference(P<0.05).But It was not noticeable(P>0.05)to cerebrovascular disease.Conclusion The incidence of psychopath after cerebrovascular disease is high and most of them are depressions.Ant deletion therapy should be taken early so as to recovery nerve function.