慢性酒中毒性精神障碍70例临床分析

Clinical analyses of 70 patients with alcoholism mental disorders

目的 为了解慢性酒中毒性精神障碍的临床特点 ,肝功能、ECG、EEG及头颅CT改变情况。方法 分析了慢性酒中毒性精神障碍 70例的临床资料。结果 精神障碍类型中以酒依赖综合症最高 ,占 97.14 % ,疗效以酒中毒性谵妄、酒中毒性幻觉症效较佳 ,酒依赖综合症及酒中毒性遗忘、痴呆最差。肝功化验及B超异常率分别为 37.14 %、2 8.5 7% ;EEG、头颅CT异常率为 2 5 .71%、4 4 .82 % ;ECG异常率为 8.5 7% ;11.4 3%性功能障碍 ;77.1%有不同程度的社会功能损害 ;复发率为 2 0 %。结论 酒精即可致精神障碍 ,又可致躯体损害及社会功能损害 ,酒精滥用问题应引起足够重视。

Objective To study the clinical features, liver function, the electroencephalogram(EEG),the electrocardiogram(ECG),and the changes of Brain CT of alcoholism mental disorders. Methods The date of 70 patients with alcoholism mental disorders were analyzed . Results 70 cases were chronic alcoholism .The alcohol dependence syndrome were the highest in forms of mental disorders(97.14%); the curative effect of alcohol dependence syndrome and alcoholic dementia were best .The abnormal rate of liver function, B mode ultrasound, EEG, the Brain CT, ECG and sexual dysfunction were 37.14%, 28.57%, 25.71%, 44.82%, 8.57% and 11.43%.the adjustment disorder of social functioning were 77.1%, respectively rate of the treatment were 20%. Conclusions Alcohol can leads to mental disorder, so can cause adjustment disorder of social functioning and the human body harm .It is suggested that we should pay attention to the prevention of alcohol abuse.