探讨帕金森病所致精神障碍的临床特征、诊断及治疗方法

To Explore the Clinical Features, Diagnosis and Treatment of Mental Disorders Caused by Parkinson’s Disease

目的探讨帕金森病所致精神障碍的临床特征、诊断及治疗方法疗效.方法通过选取于2017年10月—2018年10月期间该院收治的40例帕金森病所致精神障碍患者作为该次研究对象,分析所有患者的临床资料,包括患者的病症临床特征、临床诊断以及临床治疗方法.结果经研究发现帕金森病症所导致患者精神障碍,主要的临床特征表现为焦虑、抑郁、人格障碍,其中HAMD、SAS、SDS在治疗前后差异有统计学意义(P<0.05),治疗前分别为(18.06±1.3)分、(14.28±3.17)分、(15.88±4.15)分,治疗后分别为(6.03±0.26)分、(5.03±2.15)分、(6.71±2.73)分.主要以PDPsy诊断标准评定患者病症,对于该类病症患者通常行药物及心理治疗,能够达到较高的临床治疗疗效.结论帕金森病所致精神障碍患者,通常以患者本身的心理障碍作为主要临床病症,部分病症主要以患者抑郁症状为主,通过对患者行早期干预治疗,能够尽早取得显著的治疗疗效.同时临床诊断也应当重视对帕金森病所致精神障碍的早期认知,对患者积极干预治疗,从而取得显著的临床治疗疗效.

Objective To investigate the clinical features, diagnosis and treatment of mental disorders caused by Parkinson's disease. Methods A total of 40 patients with mental disorders caused by Parkinson's disease from October 2017 to October 2018 in our hospital were selected as the research objects. The clinical data of all patients were analyzed, including the clinical characteristics, diagnosis and treatment. Results The main clinical manifestations of mental disorders caused by Parkinson's disease were anxiety, depression and personality disorders. There were statistically significant differences in HAMD, SAS and SDS before and after treatment (P<0.05). Before treatment, the data were (18.06±1.3)points,(14.28±3.17)points,(15.88±4.15)points. After treatment, the data were (6.03±0.26)points,(5.03±2.15)points,(6.71±2.73)ponts. The main diagnostic criteria of PDPsy was used to evaluate the patients' symptoms. Drugs and psychotherapy were usually given to patients with such symptoms, which could achieve a high clinical therapeutic effect. Conclusion The main clinical symptom of psychiatric disorders caused by Parkinson's disease was the psychological disorders. Some of the symptoms are mainly depressive symptoms. Early intervention can achieve significant therapeutic effect as soon as possible. At the same time, clinical diagnosis should also pay attention to the early recognition of mental disorders caused by Parkinson's disease. And intervention therapy should be made actively, so as to achieve significant clinical therapeutic effect.