脑血管疾病患者精神障碍的临床研究

Clinical research on psychotic impediment of cerebrovascular patients

目的探讨脑血管病患者继发精神障碍的临床特点。方法对136例病人确诊后至1月内精神量表测验;1年后随访对比进行综合分析。结果脑卒中后精神障碍发生率为47.06%,其中早期占28.68%,晚期占18.38%。分类为:抑郁症(78.1%),人格障碍(14.06%),其他(7.84%)。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。

Objective To study the clinical characteristics on cerebrovascular patients following psychopathy. Methods 136 cases werre analyzed with psychoscales in a month and following up and synthetical analysis after a year. Results The total attaet rate was 47.06% after the desease and early stage was 18.38 %. The data was classified on depression 78.1%;psychopathic 14.06% and others 7.84 %. Attackrate 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 psychopthy after cerebrovascular disease is high and most of them are depressions. Antidepression therapy should be taken early so as to recovery nerve function.