酒精所致精神和行为障碍患者心肌损害情况分析

发布时间：2018-01-30 21:53

本文关键词： 酒精所致精神和行为障碍心脏彩超异常率　出处：《青岛大学》2015年硕士论文　论文类型：学位论文

【摘要】：长期大量饮酒会导致严重的精神障碍及身体损伤,使得住院患者人数多且逐年递增,给社会和家庭带来沉重的负担。酒精所致精神和行为障碍患者常伴随其它身体损害,其中最为严重的是酒精所致心肌损伤;它常常导致病人的意外死亡和其它精神治疗方面的困难。而大多数学者认为有相当一部分酒精所致的心肌损害在停酒或给予干预后是可逆的。因此,很有必要对酒精所致精神和行为障碍患者伴随的心肌损害问题进行统计和分析,利用各种先进医疗器械检测酒精所致精神和行为障碍患者的内脏系统尤其是心脏损伤情况,形成长期监测数据,以便及早干预。目的探究饮酒量和饮酒年限对酒精所致精神和行为障碍患者的心脏损伤情况的影响,为酒精所致精神和行为障碍患者的身体损伤的临床诊疗提供相关的依据,降低此类患者因为心肌功能损伤的致死率。方法将入组的78例患者分别(1)按照日饮酒量是否超过500g将患者分为A(日饮酒量不超过500g)组和B(日饮酒量超过500g)组。(2)按照饮酒年限是否超过20年分为C(饮酒年数不超过20年)组和D(饮酒年数超过20年)组。然后分别将A组和B组,C组和D组患者的心脏彩超进行对比分析。结果A组(日饮酒量不超过500g)5例,心脏彩超异常者共计1例,异常率仅为20%。B组(日饮酒量超过500g)73例,心脏彩超异常者共计30例,异常率41.1%。C组(饮酒年数不超过20年)25例,心脏彩超异常共计2例,异常率仅为8%。D组(饮酒年数超过20年)53例,心脏彩超异常者共计29例,异常率54.7%。结论1、日饮酒量多或饮酒时间长的患者心脏彩超异常率高。2、饮酒年限比日饮酒量对患者心脏彩超异常的影响更大。3、存在个体差异,有些患者可能长期大量饮酒心脏彩超无异常,有些患者可能饮酒时间不长就出现异常。
[Abstract]:Long-term heavy drinking will lead to serious mental disorders and physical injury, making the number of hospitalized patients increased year by year. Mental and behavioral disorders caused by alcohol are often accompanied by other physical damage, the most serious of which is myocardial injury caused by alcohol; It often leads to accidental death of patients and other psychotherapeutic difficulties, and most scholars believe that a significant proportion of the myocardial damage caused by alcohol is reversible after stopping alcohol or intervening. It is necessary to analyze the myocardial damage associated with alcohol-induced mental and behavioral disorders. A variety of advanced medical instruments were used to detect the visceral system, especially the heart injury, in patients with mental and behavioral disorders caused by alcohol, and to form long-term monitoring data. Objective to investigate the effects of alcohol consumption and drinking years on the heart injury in patients with mental and behavioral disorders induced by alcohol. To provide the relevant basis for the clinical diagnosis and treatment of the patients with mental and behavioral disorders caused by alcohol. To reduce the mortality of these patients due to myocardial injury. Methods 78 patients were divided into two groups according to whether the daily alcohol consumption was more than 500g (daily alcohol consumption was not more than 500g). Group B (drinking more than 500g per day) was divided into two groups: group C (no more than 20 years) and group D (drinking more than 20 years) according to whether they drank for more than 20 years. Group A and group B were divided into two groups: group A and group B. Results there were 5 cases in group A (drinking less than 500 g per day) and 1 case in group A with abnormal echocardiography. The abnormal rate was only 20%. B group (73 cases drinking alcohol more than 500g / d, 30 cases with abnormal cardiac color Doppler ultrasound), the abnormal rate was 41.1%. C group (the number of drinking years was not more than 20 years) 25 cases. There were 2 cases of abnormal echocardiography, the abnormal rate was only 80.D group (53 cases were over 20 years of drinking alcohol, 29 cases were abnormal of echocardiography, the abnormal rate was 54.7%). Conclusion 1. The abnormal rate of echocardiography was higher in patients with more daily alcohol consumption or longer drinking time, and the influence of drinking years on abnormal cardiac ultrasound was greater than that of daily drinking. There were individual differences. Some patients may drink heavily for a long time without abnormal cardiac ultrasound, while others may have abnormal drinking time.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R749.62

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