J4 ›› 2016, Vol. 1 ›› Issue (8): 39-42.

• 临床医学 • 上一篇    下一篇

老年性腔隙性脑梗塞合并精神障碍临床分析

  

  1. (1.大理州第二人民医院,云南大理671000;2.大理大学基础医学院,云南大理671000)
  • 收稿日期:2015-08-18 修回日期:2016-01-07 出版日期:2016-08-15 发布日期:2016-08-15
  • 作者简介:杨晶,医师,主要从事精神疾病研究.
  • 基金资助:

    国家自然科学基金资助项目(81560331);云南省应用基础研究计划基金资助项目(2015FD042)

Clinical Analysis of Senile Lacunar Infarction Complicated with Mental Disorder

  1. (1. No.2 People's Hospital of Dali Prefecture, Dali,Yunnan 671000,China; 2. Pre-clinical College, Dali University,
    Dali,Yunnan 671000,China)
  • Received:2015-08-18 Revised:2016-01-07 Online:2016-08-15 Published:2016-08-15

摘要:

目的:对老年性腔隙性脑梗塞合并精神障碍的病例进行分析,提供此类疾病的流行病学资料,为提高该病的诊疗水平
提供依据。方法:收集大理州第二人民医院2014年至2015年期间腔隙性脑梗塞并发精神障碍患者30例,对其起病因素、临床
特点、治疗和转归进行综合分析。结果:30例患者均确诊为老年性腔隙性脑梗塞合并精神障碍病例,年龄60~88岁,均为首次
突发精神行为异常,合并高血压28例占93.3%,2型糖尿病1例占3.3%,高脂血症4例占13.3%,应用改善脑供血加小剂量抗精
神病药物治疗,脑梗塞好转后精神障碍症状也得以控制。结论:老年性腔隙性脑梗塞合并精神障碍患者在临床上逐年增多,因
此应加强早期诊断,积极治疗合并症,提高病人的生存质量。

关键词: 精神障碍, 腔隙性脑梗塞, 临床分析

Abstract:

〕Objective: By analyzing senile lacunar infarction cases complicated by mental disorders, to provide epidemiological data
for such disease, and improvethe diagnosis and treatments of the disease. Methods: Cases of 30 patients suffering lacunar infarction
complicated with mental disorders were collected from No.2 People's Hospital of Dali Prefecture between 2014 to 2015. Those cases
were comprehensively analyzed on the following aspects: causes, clinical features, treatment and prognosis. Results: 30 patients were
all diagnosed with senile lacunar infarction complicated with mental disorder. They were all between 60-88 years old, and suffered
sudden mental and behavioral abnormalities for the first time. 28 cases of them got hypertension, accounting for 93.3%; one case got
type 2 diabetes, accounting for 3.3%; four hyperlipidemia, accounting for 13.3%. After treatments of improving brain blood supply and
low dose antipsychotic drug therapy, mental disorders can be controlled following the infarction improvement. Conclusion: Senile
lacunar infarctions complicated with clinical mental disorders have increased year by year. Early diagnosis should be strengthened,
active treatments of complications should be performed to improve the life quality of patients.

Key words: mental disorder, lacunar infarction, clinical analysis

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