酒精所致精神障碍的头颅CT检查结果及其临床相关因素对照研究

A controlled study of both brain CT and correlative factors for patients with alcoholic psychoses

目的探讨酒精所致精神障碍头颅ＣＴ检查结果及其临床的相关因素。方法对住院的５２例符合ＣＣＭＤ—２—Ｒ诊断标准的酒精所致精神障碍患者进行了头颅ＣＴ检查，并以同期住院的精神分裂症患者进行对照分析。结果５２例酒精所致精神障碍患者中，脑萎缩为３４例（６５４％）；５２例精神分裂症患者中，脑萎缩为２０例（３８５％）。两者比较有显著性差异。结论酒精所致精神障碍的头颅ＣＴ异常率明显高于精神分裂症。其中，饮酒时间＞１０年、饮酒量＞１０００ｍｌ／日以及空腹饮酒者。

Objective To explore difference between brain CT and correlative factors in the patients with alcoholic psychosis.Method 52 alcoholic psychosis and 52 schizophrenia were diagnosed by CCMD-2-R criteria and their brain CT and correlative factors were compared.Result The CT showed 34(65.4%) alcoholic psychosis and 20(38.5%) schizophrenia with cerebral atrophy(P<0.05).Conclusions The ratio of alcoholic psychosis with cerebral atrophy was higher than schizophrenia,and the duration of drink over 10years,the quantity of drink also over 1000 ml/day,and empty stomach drinker.