摘要
目的 进行急性脑梗死患者早期发生精神症状现状分析。方法 本研究观察对象为2021年8月~2022年11月80例急性脑梗死患者,两周内采用《中国精神障碍诊断分类标准》第三版进行精神症状评估,并根据评估结果分为精神症状组以及无精神症状组,收集两组患者年龄、性别、梗死位置等病历资料,并采取单因素与多因素分析调查早期发生精神症状的影响因素。结果 80例急性脑梗死患者早期发生精神症状21例,其中幻觉、妄想5例,躁狂4例,谵妄6例,抑郁或焦虑6例;两组年龄、性别、梗死部位、合并低氧血症差异具有统计学意义(P<0.05),两组文化程度、神经功能缺损评分(NHISS)、合并慢性病差异无统计学意义(P>0.05);多因素分析显示,颞叶梗死、额叶梗死、女性、年龄> 75岁、合并低氧血症是急性脑梗死患者早期发生精神症状的影响因素(P<0.05)。结论 急性脑梗死患者早期可能发生精神症状,常见谵妄、抑郁或焦虑等,颞叶、额叶梗死、高龄等可能增加精神症状发生风险。
Objective To analyze the status of early onset of mental symptoms in patients with acute cerebral infarction.Methods Eighty patients with acute cerebral infarction from August 2021 to November 2022 were selected as the study subjects.The third edition of the Chinese Diagnostic Classification of Mental Disorders was used to assess mental symptoms within two weeks.They were divided into mental symptom group and no mental symptom group according to the evaluation results.The age,sex,infarction location and other medical records of the two groups of patients were collected.The influencing factors of early onset of mental symptoms were investigated using the single factor and multiple factor analysis.Results Twenty-one patients developed early mental symptoms,including 5 cases of hallucination and delusion,4 cases of mania,6 cases of delirium,and 6 cases of depression or anxiety in 80 patients with acute cerebral infarction.There were statistically significant differences between the two groups in age,sex,infarction site and hypoxemia(P<0.05).There was no significant difference between the two groups in education level,neurological deficit score(NHISS)and chronic disease(P>0.05).Multivariate analysis showed that temporal lobe infarction,frontal lobe infarction,female,age>75 years old,and hypoxemia were the influencing factors of early onset of mental symptoms in patients with acute cerebral infarction(P<0.05).Conclusion Patients with acute cerebral infarction may have mental symptoms in the early stage,such as delirium,depression or anxiety,while temporal lobe and frontal lobe infarction and old age may increase the risk of mental symptoms.
作者
张奥楠
姚保全
刘文念
ZHANG Aonan;YAO Baoquan;LIU Wennian(Huainan East Hospital Group General Hospital,Huainan 232000,China)
出处
《国际精神病学杂志》
2024年第3期920-922,944,共4页
Journal Of International Psychiatry
关键词
急性脑梗死
早期
精神症状
梗死部位
Acute cerebral infarction
Early
Mental symptoms
Infarction site
