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采用DSM—Ⅲ诊断标准对104例住院脑卒中患者的精神障碍进行诊断。结果表明:本组病例的精神障碍发生率为46.2%,其中脑卒中后重性抑郁(PSD)、抑郁性神经症(DN)、多发性梗塞痴呆(MID)和脑卒中后躁狂(PSM)发生率分别为22.1%、11.5%、8.7%及3.8%。研究发现抑郁性障碍与额部或左基底节损害有明显联系,PSM则与右半球损害有关。对脑卒中后精神障碍的发生机理作了初步探讨。
Using DSM-Ⅲ diagnostic criteria to diagnose mental disorders in 104 hospitalized stroke patients. The results showed that the incidence of mental disorders was 46.2% in this group, including major depressive disorder (PSD), depressive neurosis (DN), multiple infarct dementia (MID) and post-stroke mania (PSM) The incidence rates were 22.1%, 11.5%, 8.7% and 3.8% respectively. Study found that depression and forehead or left basal ganglia damage significantly linked, PSM is associated with damage to the right hemisphere. The pathogenesis of stroke after mental disorders made a preliminary discussion.