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甲基苯丙胺所致精神病性障碍的临床特点分析 被引量:19

ANALYSIS OF THE CLINICAL FEATURES OF METHAMPHETAMINE-INDUCED PSYCHOTIC DISORDER
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摘要 目的:探讨甲基苯丙胺所致精神病性障碍的临床特点。方法:对2011年在广州市脑科医院物质依赖科住院治疗的66例甲基苯丙胺所致精神病性障碍患者的临床资料进行回顾性分析。结果:滥用的甲基苯丙胺制品主要是冰毒,共64例(97.0%)。滥用持续时间平均2.3±s 1.2 a。冰毒的滥用剂量平均0.4 g.次-1±s 0.1 g.次-1。38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56例(84.8%)、被害妄想61例(92.4%)、嫉妒妄想48例(72.7%)、易激惹60例(90.9%)、兴奋状态62例(93.9%)和冲动行为53例(80.3%)。症状治疗后消失较快,出院时痊愈率达89.4%。结论:甲基苯丙胺所致精神病性障碍主要表现为幻听、被害妄想、嫉妒妄想、易激惹、兴奋和冲动行为等症状,且症状治疗后消失较快,疗效好。 Objective: To investigate the clinical features of methamphetamine - induced psychotic disorder. MethodsSixty -six inpatients with methamphetamineinduced psychotic disorder in our department in 2011 were retrospectively analyzed. Results: The most abused methamphetamine is ICE, which is 64 ( 97.0% ) in 66 patients. The average abuse duration was 2.3 ± s 1.2 years. The average abuse dose was 0.4 ± s 0. 1 g every time. Thirty - eight of them (57. 6% ) have ever used or combined used other substances. The common psychotic symptoms were auditory hallucination (84. 8% ), delusion of persecution ( 92. 4% ) , delusion of jealousy ( 72. 7% ) , irritability ( 90. 9% ) , excitement (93.9%) and impulsive behavior (80. 3% ). The symptoms vanished quickly after treatment, with a remission reached 89.4%. Conclusion:The main symptoms of this disorder are auditory hallucination, delusion of persecution, delusion of jealousy, irritability, excitement and impulsive behavior, and the symptoms vanish quickly after treatment with a good remission.
出处 《中国药物依赖性杂志》 CAS CSCD 2012年第5期349-351,共3页 Chinese Journal of Drug Dependence
基金 广州市医药卫生科技项目(20121A010008)
关键词 甲基苯丙胺 非法滥用 精神病性障碍 临床特点 methamphetamine illegal abuse psychotic disorders clinical features
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