精神疾病激越症状的临床评估和处理

发布时间：2018-01-20 03:10

本文关键词： 精神疾病激越评估处理　出处：《中国心理卫生杂志》2016年04期 　论文类型：期刊论文

【摘要】：激越是精神疾病急性期常见的症状之一,具有发生率高、发病急、症状重、难预测、危害性大的特点,常见于精神分裂症和双向障碍躁狂发作的患者。临床上遇到伴有激越症状的精神疾病患者首先要评估其激越症状,包括基于精神检查的评估和量表评估两种方式,其中我国引进的量表主要有阳性和阴性症状量表兴奋因子(PANSS-EC)、柯恩-曼菲尔得激越量表(CMAI)和修改版外显攻击行为量表(MOAS)。根据激越症状严重程度不同,可选用非医疗性干预、药物治疗、无抽搐性电休克治疗和联合治疗等方法。本文对激越概况、精神疾病激越症状临床评估和精神疾病激越症状处理进行概述。
[Abstract]:Agitation is one of the common symptoms in the acute stage of mental illness, with the characteristics of high incidence, acute onset, severe symptoms, difficult to predict, and great harmfulness. It is common in patients with schizophrenia and bipolar disorder mania. Patients with mental illness with agitation symptoms should first be evaluated for their agitation symptoms. There are two kinds of evaluation methods, including mental examination based assessment and scale evaluation, in which the positive and negative symptom scale excitement factor (PANSS-ECS) is mainly introduced in China. CMAI) and modified explicit aggressive behavior scale (MOASI). According to the severity of agitation symptoms, non-medical intervention and drug therapy can be selected. In this paper, the general situation of agitation, the clinical evaluation of agitation symptoms and the treatment of agitation symptoms of mental illness were summarized.
【作者单位】：北京大学第六医院北京大学精神卫生研究所卫生部精神卫生重点实验室(北京大学);
【分类号】：R749
【正文快照】： 激越是精神疾病急性期常见的症状之一,具有带来更大挑战。发生率高、发病急、症状重、难预测、危害性大的1概述特点。激越常发生于精神科急诊和精神科病房,是医护人员受伤的主要原因,严重威胁患者身心健康激越(agitation)是一组跨疾病分类诊断的行和财产安全。激越往往造成患

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