CAJ | 학술논문

目的：探讨苯丙胺类兴奋剂所致精神障碍临床特点。方法对2010～2013年在南宁市社会福利医院药物依赖科住院治疗的132例ATS所致精神病性障碍临床资料进行回顾性分析。结果滥用ATS类兴奋剂男女性别差异不大，文化素质偏低职业以无业和个体为主。76例（57.6％）曾经使用或合并使用其他物质。常见的精神病性症状为幻听112例（84.8％）、被害妄想124例（93.9％）、嫉妒妄想96例（72.7％）、易激惹120例（90.9％）、兴奋状态124例（93.9％）、冲动行为104例（78.8％）。经治疗症状在一个月内显效率97.4％。结论长期滥用苯丙胺类兴奋剂可致严重的精神病性障碍。治疗以对症治疗为主，并辅以心理治疗，总体疗效尚佳。
목적：탐토분병알류흥강제소치정신장애림상특점。방법대2010～2013년재남저시사회복리의원약물의뢰과주원치료적132례ATS소치정신병성장애림상자료진행회고성분석。결과람용ATS류흥강제남녀성별차이불대，문화소질편저직업이무업화개체위주。76례（57.6％）증경사용혹합병사용기타물질。상견적정신병성증상위환은112례（84.8％）、피해망상124례（93.9％）、질투망상96례（72.7％）、역격야120례（90.9％）、흥강상태124례（93.9％）、충동행위104례（78.8％）。경치료증상재일개월내현효솔97.4％。결론장기람용분병알류흥강제가치엄중적정신병성장애。치료이대증치료위주，병보이심리치료，총체료효상가。
Objective To discuss the clinical features of mental disorder due to amphetamine type stimulants. Methods 132 Clinical data of psychotic disorder caused by ATS were retrospectively was analyzed from 2010 to 2013 in Nanning City Social Welfare Institute in Drug Dependence department. Results The abuse of amphetamine type stimulants had no sex difference. The low cultural quality was to unemployed and individual. 19 cases(57.6%)had used or combined with other substances. Psychotic symptoms common to auditory hal ucinations in 28 cases(84.8%),31(93.9%)cases of paranoia, delusions of jealousy in 24 cases(72.7%),irritable in 30 cases(90.9%),the excited state in 31 cases(93.9%),impulsive behavior in 26 cases(78.8%). After treatment,the significantly efficiency of symptoms was 97.4% within a month. Conclusion The mental disorders can be severe if abuse amphetamine type stimulants. Symptomatic treatment,supplemented by psychological treatment,the overal effect is comparatively good.