许多符合DSM—Ⅲ惊恐发作的病人,据认为有低血糖和5小时葡萄糖耐量试验的异常。早在1950年代就有人提出低血糖可以引起几乎所有类型的精神病。对于低血糖与精神病症状之间的关系,常存在争论,但却极少有对这一问题的系统的研究。据我们所知,还没有一个研究说明在低血糖时确实有精神症状。所以,有说服力的研究方法是证实在低血糖时出现精神症状而这些症状与病人通常发作时的表现相同的。但做到这一点是不容易的,因为必须在病人诉说症状开始出现时抽血检查血糖。我们根 Many patients with panic attacks of DSM-III are thought to have hypoglycemia and a 5-hour glucose tolerance test. As early as the 1950s it was suggested that hypoglycemia can cause almost all types of mental illness. There is often debate about the relationship between hypoglycaemia and psychotic symptoms, but few systematic studies have been conducted on this issue. To the best of our knowledge, there is not yet a single study that shows psychiatric symptoms at hypoglycemia. Therefore, a convincing research method is to confirm the presence of psychiatric symptoms in the case of hypoglycemia, and these symptoms are the same as when the patient usually attacks. But this is not easy to do, because blood tests must be performed on the patient’s blood when blood tests begin to appear. Our roots