中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
25期
7-9
,共3页
紧张%女性%双相情感障碍%精神分裂症
緊張%女性%雙相情感障礙%精神分裂癥
긴장%녀성%쌍상정감장애%정신분렬증
Nervous%Women%Bipolar disorder%Schizophrenia
目的：探讨伴紧张症状女性双相情感障碍的临床特点。方法：回顾性分析入院时伴紧张症状、出院时符合ICD-10的紧张型精神分裂症（A组）与双相情感障碍症（B组）各30例患者的临床资料。结果：A、B两组患者病期分别为（37.9±17.7）d、（18.0±13.4）d；入院诊断符合率分别为93.3%、60.0%，差异均有统计学意义（P<0.05）。临床现象的比较：B组起病急，病前受应激因素影响易轻躁狂，伴紧张症状时多呈“作态”、“装相”戏剧化行为，治疗1周内可缓解且反应敏感于A组。A组患者症状缓解后的BPRS评定显示“激活性”因子、“焦虑忧郁”因子分值均明显高于B组（P<0.05），B组患者症状缓解后的BPRS评定显示“缺乏活力”因子，“敌对猜疑”因子，“思维障碍”因子分值均明显高于A组（P<0.05）。结论：紧张性症状与精神分裂症、双相情感障碍有关，但两者的起病形式、应激影响、性格特点以及治疗反应性差异显著，且症状缓解后A组的“缺乏活力”、“敌对猜疑”、“思维障碍”明显区别于B组的兴奋、焦虑等情绪化特点。
目的：探討伴緊張癥狀女性雙相情感障礙的臨床特點。方法：迴顧性分析入院時伴緊張癥狀、齣院時符閤ICD-10的緊張型精神分裂癥（A組）與雙相情感障礙癥（B組）各30例患者的臨床資料。結果：A、B兩組患者病期分彆為（37.9±17.7）d、（18.0±13.4）d；入院診斷符閤率分彆為93.3%、60.0%，差異均有統計學意義（P<0.05）。臨床現象的比較：B組起病急，病前受應激因素影響易輕躁狂，伴緊張癥狀時多呈“作態”、“裝相”戲劇化行為，治療1週內可緩解且反應敏感于A組。A組患者癥狀緩解後的BPRS評定顯示“激活性”因子、“焦慮憂鬱”因子分值均明顯高于B組（P<0.05），B組患者癥狀緩解後的BPRS評定顯示“缺乏活力”因子，“敵對猜疑”因子，“思維障礙”因子分值均明顯高于A組（P<0.05）。結論：緊張性癥狀與精神分裂癥、雙相情感障礙有關，但兩者的起病形式、應激影響、性格特點以及治療反應性差異顯著，且癥狀緩解後A組的“缺乏活力”、“敵對猜疑”、“思維障礙”明顯區彆于B組的興奮、焦慮等情緒化特點。
목적：탐토반긴장증상녀성쌍상정감장애적림상특점。방법：회고성분석입원시반긴장증상、출원시부합ICD-10적긴장형정신분렬증（A조）여쌍상정감장애증（B조）각30례환자적림상자료。결과：A、B량조환자병기분별위（37.9±17.7）d、（18.0±13.4）d；입원진단부합솔분별위93.3%、60.0%，차이균유통계학의의（P<0.05）。림상현상적비교：B조기병급，병전수응격인소영향역경조광，반긴장증상시다정“작태”、“장상”희극화행위，치료1주내가완해차반응민감우A조。A조환자증상완해후적BPRS평정현시“격활성”인자、“초필우욱”인자분치균명현고우B조（P<0.05），B조환자증상완해후적BPRS평정현시“결핍활력”인자，“활대시의”인자，“사유장애”인자분치균명현고우A조（P<0.05）。결론：긴장성증상여정신분렬증、쌍상정감장애유관，단량자적기병형식、응격영향、성격특점이급치료반응성차이현저，차증상완해후A조적“결핍활력”、“활대시의”、“사유장애”명현구별우B조적흥강、초필등정서화특점。
Objective:To investigate the clinical characteristics of bipolar disorder in women with nervous symptoms.Method:The clinical data of 30 patients with nervous symptoms at the time of admission,at discharge in accordance with the ICD -10 nervous type schizophrenia(the group A) and 30 patients with bipolar disorder(the group B) were retrospectively analyzed.Result:The disease stage of group A and group B were (37.9±17.7)d,(18.0±13.4)d; admission diagnosis coincidence rate were 93.3%,60.0% respectively,the differences were statistically significant (P<0.05).The clinical phenomenon of comparison:the group B acute onset,before the disease affected by stress factors easy hypomania,mostly when accompanied by nervous symptoms "as a state","mannerisms" dramatic behavior, within 1 week of treatment could relieve and the reaction was sensitive to the group A.BPRS assessment after symptom remission showed that the scores of "activated","anxiety depression" factors in group A were higher than those in group B(P<0.05)."the lack of vitality","hostile suspicion" factor and “thought obstacle” factor score in group A were significantly higher than those in group A(P<0.05).Conclusion:Nervous symptoms associated with schizophrenia and bipolar disorders,but the differences are statistically significant in the onset of both forms,the impact of stress, personality characteristics and treatment response of the two groups.And after symptom remission,the "lack of vitality","hostile suspicion "" thought disorder " of group A are significantly different from the excitement,anxiety and other emotional characteristics of group B.
