一起集体性癔症诱因、临床特征、干预措施的研究

发布时间：2018-03-16 21:21

本文选题：集体性癔症　切入点：临床特征　出处：《新疆医科大学》2014年硕士论文　论文类型：学位论文

【摘要】：目的：探讨一起集体性癔症的诱发因素,描述其临床特征,并对干预措施进行总结。提高医务人员对该疾病的认识。方法：广东某工厂发生应激事件后,54例患者诊断为集体性癔症,收集患者社会人口学资料、发病前情况和临床症状,予以药物和心理治疗,并于治疗前及治疗1周、2周和4周时进行汉密尔顿焦虑量表(HAMA)评定。结果：患者平均(20.26±2.04)岁,女38例,男16例。患者均目击了斗殴事件,50例患者表示事件后最担心自身安全。47例(87.0%)患者出现痉挛或抽搐发作,分别有32例(59.3%)和29例(53.7%)患者出现情感爆发和发作性晕厥；癔症性精神障碍和躯体障碍混合发作者为34例(62.96%)。治疗前与治疗1周、2周和4周后的HAMA评分,差异有统计学意义(P0.05)。治疗1周后、2周后,54例患者中症状消失的组与症状持续的组HAMA评分,差异有统计学意义(P0.05)。结论：目击斗殴事件、对自身安全的担心是本次集体性癔症的诱因；患者以癔症性精神障碍和躯体障碍混合发作为主要症状；控制集体性癔症流行的首要任务在于缓解人群的焦虑情绪。
[Abstract]:Objective: to investigate the inducing factors of collective hysteria and to describe its clinical features. Methods: 54 patients were diagnosed as collective hysteria after the stress event in a factory in Guangdong province. The data of social demography, pre-onset and clinical symptoms were collected. The patients were evaluated with Hamilton anxiety scale (Hama) before treatment and at 1 week, 2 weeks and 4 weeks. Results: the average age of the patients was 20.26 卤2.04 years old. Male 16 cases. All the patients witnessed the affective outbreak and paroxysmal syncope in 50 patients who said that they were most worried about their safety after the incident. 47 patients had convulsions or convulsions, 32 patients had spasms or convulsions, and 29 patients had paroxysmal syncope. There were 34 cases with hysterical mental disorder and somatic disorder. The HAMA scores were measured before and after 1 week and 4 weeks of treatment. The difference was statistically significant (P 0.05). There were significant differences in HAMA scores between the group with disappeared symptoms and those with persistent symptoms in 54 patients after 1 week and 2 weeks of treatment. Conclusion: there is a significant difference between the two groups (P 0.05). Conclusion: there is a significant difference between the two groups. The main symptoms of collective hysteria are the anxiety about their own safety; the combination of hysterical mental disorder and somatic disorder is the main symptom; the first task to control the prevalence of collective hysteria is to relieve the anxiety of the crowd.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R749.73

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