慢性阻塞性肺疾病并发神经精神症状82例临床分析

ClinicalAnalysis of 82 Patients in Chronic Obstuctive Pulmonary Disease Complicated with Neuropsychiatric Symptoms

目的分析慢性阻塞性肺疾病并发神经精神症状的致病原因以及疗效。方法选取2005年10月～2011年10月间于我院接受诊断和治疗的慢性阻塞性肺疾病并发神经精神症状的患者82例,对致病原因的分布以及治疗结果进行分析。结果慢性阻塞性肺疾病并发神经精神症状82例患者的致病原因中,肺性脑病42例,占51.22%;低渗性脑病21例,占25.61%;脑梗死9例,占10.98%;药物原因8例,占9.76%;其他原因有2例,占2.43%。接受治疗和护理后,神经精神症状消失的有51例,占62.20%,好转者26例,占31.70%;死亡者5例,占6.10%。结论慢性阻塞性肺疾病并发神经精神症状的致病原因主要为肺性脑病以及低渗性脑病,患者经过系统的治疗与护理后,能获得满意的疗效。

Objective To analyze the causes and effects of chronic obstructive pulmonary disease complicated with neuropsychiatric symptoms. Methods 82 patients in our hospital with chronic obstructive pulmonary disease and neuropsychiatric symptoms were selected to be analyzed the causes and effects. Results There were 42 patients caused by pulmonary encephalopathy and it was accounted for 51.22%. There were 21 patients caused by hypotonic encephalopathy and it was accounted for 25.61%. There were 9 patients caused by cerebral infarction and it was accounted for 10.98%. There were 8 patients caused by drug reasons and it was accounted for 9.76%. There were 2 patients caused by other reasons and it was accounted for 2.43%. After the treatment 51 patients＇ neuropsychiatric symptoms disappeared, 26 patients＇ neuropsychiatric symptoms improved, 5 patients died. Conclusion Pulmonary encephalopathy and hypotonic encephalopathy were the main reasons caused chronic obstructive pulmonary disease complicated with neuropsychiatric symptoms. It had a satisfactory effect after systematic treatment and care.