摘要
目的 :探讨以头晕为主诉的无症状性脑梗死 (ACI)患者的情绪状态及临床体验并观察抗焦虑/抑郁治疗的疗效。方法 :对 98例 ACI患者采用汉密尔顿焦虑抑郁量表进行筛查 ,并根据 ICD- 10的诊断标准做出诊断后 ,给予抗焦虑 /抑郁药物治疗和支持性心理治疗 ,以治疗前后的汉密尔顿焦虑量表 (HAMA)的减分率和临床症状缓解程度来评定疗效。结果 :处于焦虑状态的 ACI患者 ,医检证实均有脑血管系统的轻微病损 ,头晕史 0 .5～ 7年 ,有心悸、气短、眩晕发作、失眠等自诉躯体症状 ,6 7.5 5 %伴有高血压 ;经帕罗西汀和支持性心理治疗 ,10 0 %显效 ,临床症状缓解。结论 :以头晕为主诉的 ACI患者 ,若经改善脑血流循环治疗无效者 ,则应实施抗焦虑 /抑郁药物治疗和支持性心理治疗 ,可望获得良好疗效。
Objective:To explore the emotion and clinical features of asymptomatic cerebral infarction (ACI) patients with complaints of dizziness and to observe the efficacy of anti-anxiety and antidepressive treatment.Methods:HAMA and HAMD was administered to screen the patients with anxiety and depression and diagnosis was made based on ICD-10 criteria. Anti-anxiety and antidepressive therapy and supportive psychological therapy were used. The reduction rates of the score of HAMA were used to assess the efficacy.Results:The ACI patients had mild impairment of cerebralvascular system, history of 0.5-7 years, physical symptoms of palpitation, shortness of breathing, episode of dizziness and insomnia, and 67.55% of them was accompanied with hypertension. After paroxetine and supportive psychological therapy, all these patients showed clinical improvement.Conclusion:The ACI patients with complaints of dizziness, if no response to the therapy of improving cerebral blood flowing, will reach good efficacy with anti-anxiety/antidepressive therapy and supportive psychological therapy.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2004年第6期429-431,共3页
Chinese Mental Health Journal
