目的 總結臨床經驗，提高診治水平。方法 總結我院1992年4月至1998年6月期間5例甲狀腺術后癔病性搐搦的臨床資料。結果 5例均為女性，術前血清鈣、磷濃度正常，無癲癇史。4例行甲狀腺側葉加峽部切除術，1例行甲狀舌骨囊腫切除術。4例于術后1小時50分至3小時20分突發手足搐搦。1例術后5小時25分出現手腕以遠麻木。查體： Chvostek氏征及Troussetau氏征陰性，急查血清鈣、磷及PTH濃度正常，靜脈補鈣無效。結論 甲狀腺術后出現搐搦，如補鈣無效，應考慮癔病的可能。其特點為： 女性，具有一定的文化知識，發病時間早，血清鈣、磷及PTH正常，靜脈補鈣無效，需用心理暗示及鎮靜治療。
目的:了解汶川大地震自然災難對幸存者心理健康狀況的影響。方法:在地震發生后1月內采用SCL-90對地震災區幸存者進行心理健康狀況評估。結果:SCL-90各因子分中,軀體化、抑郁、焦慮及敵對因子災區幸存者均高于常模,其余各因子災區幸存者均低于常模;男性、女性之間和不同文化程度之間比較, SCL-90總均分及各因子分差異均無統計學意義(P均gt;0.05);不同居住地之間比較,軀體化、恐怖和偏執因子差異有統計學意義。 其中,軀體化癥狀中,居住農村者均分最高(2.06±1.23),其次為山區幸存者(1.75±0.47),城市幸存者最輕(1.63±0.51)(P= 0.042),而在恐怖、偏執因子分中,居住山區者最高(1.36±0.68;1.59±0.79),其次為農村(1.15±0.39;1.34±0.45),城市最低(1.07±0.30;1.25±0.35)(P均= 0.015)。結論:特大地震自然災難給幸存者造成的心理創傷很普遍,需要對幸存者進行及時的心理危機干預,政府衛生部門在制定救援政策時有必要納入心理危機干預計劃。
【摘要】 目的 探討輕度認知功能障礙的心理學特點及其危險因素。 方法 由神經專科醫生采集2009年9-12月在神經內科門診就診患者106例的臨床資料，進行簡易智能量表（MMSE）、聽覺詞語測驗（AVLT）、畫鐘測驗（CDT）、日常生活功能量表（ADL）、Hamilton 抑郁量表（HDRS）及臨床癡呆評定量表（CDR）等神經心理測試。根據檢查結果分為MCI組與對照組。 結果 MCI組受教育年限低于對照組（Plt;0.05），高血壓病、糖尿病、腦卒中史高于對照組（Plt;0.05）。Logistic多因素回歸分析顯示受教育年限和高血壓病史與MCI密切相關。MCI組MMSE總分、CDT得分、AVLT即刻記憶、延遲記憶及長時延遲再認顯著低于對照組，ADL評分及HDRS評分高于對照組（Plt;0.05）。 結論 高血壓病是MCI的危險因素，較高的受教育年限是MCI的保護因素。MCI患者在多個神經心理學領域受損。【Abstract】 Objective To investigate the neuropsychological characteristics of mild cognitive impairment (MCI) and its risk factors. Methods The clinical data of 106 patients in our neurologic department from september to December 2009, were collected by neurologists,and tested them by Chinese version of the mini-mental state examination (MMSE) , auditory verbal learning test (AVLT) , clock drawing test (CDT)、activities of daily living (ADL)、Hamilton depression rating scale (HDRS) and clinical dementia rating scale (CDR). All subjects were divided into MCI patients group and the control group. Results Educational level was significantly lower and hypertension, diabetes mellitus and stroke history were significantly more in patients with MCI than the control. The factors associated with MCI in logistic regression analysis were lower educational level and hypertension. The scores of MMSE、CDT and AVLT of MCI were significantly lower than those of the control, and the scores of ADL and HDRS were significantly higher than those of the control (Plt;0.05). Conclusion Hypertension is the risk factor and high educational level is the protective factor for MCI. MCI patients are impaired in multiple neuropsychological domains.
Objective To explore the mental health status of college students in the Xining region. Methods A total of 1 875 college students were surveyed by the Symptom Checklist-90 (SCL-90) and the Eysenck Personality Questionnaire (EPQ).Results Out of the 1 875 college students, 21.5% had at least one item scoring more than 3. Compared with the normal samples, college students scored significantly higher on SCL-90 indicating that the students had worse mental health. Significant differences were noted in the dimensions of EPQ between college students and the normal samples. The total score of SCL-90 was found to be significantly related to four factors, namely neuroticism, family economic status, school and nationality. Conclusion The mental health status of college students in Xining region is lower than that of the normal population, and factors of neuroticism, family economic status, school and nationality are related to their mental health.
Psychological distress management can effectively reduce the incidence of psychological distress in female breast cancer patients, improve treatment adherence, and enhance quality of life. Healthcare professionals play a crucial role in the management of psychological distress among female breast cancer patients, and the development of practice guidelines tailored to the Chinese clinical context holds significant importance. This guideline addresses 13 key clinical questions related to the psychological distress management of female breast cancer patients and provides 27 recommendations. It aims to establish clinical standards for the standardized management of psychological distress, with the goal of improving treatment outcomes and quality of life for female breast cancer patients.