慢性乙醇中毒性精神障碍的神经精神症状

Neuropsychic Symptoms of Psychonosema Caused by Chronic Mcoholism

目的对70例住院的慢性乙醇中毒患者的神经精神症状进行总结。方法收集2001年1月～2005年1月在河南省精神病医院戒酒科住院的慢性乙醇中毒患者70例,采用面谈方式,获取其饮酒情况、精神症状、神经症状、辅助检查结果,并做出相应的诊断。结果按照CCMD-3诊断标准诊断乙醇所致的精神病状态22例,乙醇所致的遗忘综合征2例,乙醇所致的人格障碍8例,乙醇所致的痴呆5例,酒依赖17例,戒断综合征8例。患者可出现1种或1种以上精神病性症状。神经系统症状中肢体震颤较多见。脑电图检查53例有不同程度的异常。结论长期过量饮酒不仅导致神经系统的损害,还可导致多种躯体疾病,应早期干预。

[ Objective] To sum up the neuropsychic symptoms of 70 cases of psychonosema caused by chronic alcoholism. [ Methods] 70 cases of chronic alcoholism in Henan Mental Hospital were collected and interviewed assisted by tests to gain their drinking state and mental and neural symptoms; diagnosis was made accordingly. [Results] According to CCMD- 3, 22 cases were found with mental disorder, 2 with Korsakov＇ s syndrome, 8 with personality disorders, 5 with alcohol dementia, 17 with alcohol dependence and 8 with withdrawal syndromes. One or more symptoms d mental disorders might present in the same patients. Extremity trembling was more often seen among the nemal symptoms; 53 cases were abnormal in the electroencephalogram examination. [ Conclusion] Long - term excessive alcohol drinking can impair the neural system and lead to multiple body diseases; intervention at early stage is indispensable.