脑血管病患者的述情障碍

Alexithymia in cerebrovascular disorders (CVD).

目的 探讨脑血管病患者的述情障碍及严重程度。方法 对82例确诊的脑血管病患者运用多伦多述情障碍量表(TAS)进行测试,并与健康对照组进行比较。结果 脑血管病患者存在明显的述情障碍,TAS总分及各因子分明显高于对照组,且女性高于男性,脑血管病患者的诊断及严重程度与述情障碍无关。结论 脑血管病患者存在较多的述情障碍,不仅影响患者的治疗,而且可导致医源性疾病或延长住院时间,临床医师若能及时确切地了解患者有无述情障碍,可帮助选择心理治疗的种类指导康复期治疗。

Objective To stydy the alexithymia and its severity in patients with cerebrovascular disorders. Methods TAS was applied with 82 cases diagnosed as cerebrovascular disorders by comparing with normal control group. Results Significant higher total TAS in CVD indicated the marked alexithymia in CVD,and femal in domans. The alexithymia did not show a correlation with the diagnosis and severity of CVD. Conclusion Alexithymia in CVD patients can not only affect the treatment ,but also cause iatrogenic disorders or prolong the duration of hospitalization. If the clinicians can decide whether the patients have the alexithymia,more proper psychological methods can be choosen in the rehabilitation of CVD.