精神疾病激越症状的临床评估和处理

被引:15
作者
张素贞
宓为峰
张鸿燕
机构
[1] 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)
关键词
精神疾病; 激越; 评估; 处理;
D O I
暂无
中图分类号
R749 [精神病学];
学科分类号
100204 [神经病学];
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。
引用
收藏
页码:287 / 291
页数:5
相关论文
共 14 条
[1]
Rapid Tranquilization of Severely Agitated Patients With Schizophrenia Spectrum Disorders: A Naturalistic; Rater-Blinded; Randomized; Controlled Study With Oral Haloperidol; Risperidone; and Olanzapine.[J].Sebastian Walther;Franz Moggi;Helge Horn;Konstantin Moskvitin;Christoph Abderhalden;Nadja Maier;Werner Strik;Thomas J. Müller.Journal of Clinical Psychopharmacology.2014, 1
[2]
Loxapine Inhalation Powder: A Review of its Use in the Acute Treatment of Agitation in Patients with Bipolar Disorder or Schizophrenia [J].
Keating, Gillian M. .
CNS DRUGS, 2013, 27 (06) :479-489
[3]
A prospective; observational study of the safety and effectiveness of intramuscular psychotropic treatment in acutely agitated patients with schizophrenia and bipolar mania.[J].E. Perrin;E. Anand;Y. Dyachkova;T. Wagner;S. Frediani;A. Ballerini.European Psychiatry.2010, 4
[4]
Rapid acute treatment of agitation in patients with bipolar I disorder: a multicenter, randomized, placebo-controlled clinical trial with inhaled loxapine [J].
Kwentus, Joseph ;
Riesenberg, Robert A. ;
Marandi, Morteza ;
Manning, Raymond A. ;
Allen, Michael H. ;
Fishman, Robert S. ;
Spyker, Daniel A. ;
Kehne, John H. ;
Cassella, James V. .
BIPOLAR DISORDERS, 2012, 14 (01) :31-40
[5]
Hospitalized Patients with Dementia: The Dilemma of Managing Agitation [J].
Bradas, Cheryl M. ;
Mion, Lorraine C. .
GERIATRIC NURSING, 2011, 32 (06) :455-458
[6]
Effect of Nicotine Replacement Therapy on Agitation in Smokers With Schizophrenia: A Double-Blind, Randomized, Placebo-Controlled Study [J].
Allen, Michael H. ;
Debanne, Martin ;
Lazignac, Coralie ;
Adam, Eric ;
Dickinson, L. Miriam ;
Damsa, Cristian .
AMERICAN JOURNAL OF PSYCHIATRY, 2011, 168 (04) :395-399
[7]
Characteristics of violent behaviour in acute psychiatric in‐patients: a 5‐year Italian study.[J].LuigiGrassi;LuanaPeron;ClaudioMarangoni;PierluigiZanchi;AdelloVanni.Acta Psychiatrica Scandinavica.2008, 4
[8]
Epidemiology of Adult Psychiatric Visits to U.S. Emergency Departments.[J].Sara B.Hazlett;Melissa L.McCarthy;Michael S.Londner;Chiadi U.Onyike.Academic Emergency Medicine.2008, 2
[9]
Intramuscular ziprasidone treatment of acute psychotic agitation in elderly patients with schizophrenia [J].
Barak, Y ;
Mazeh, D ;
Plopski, I ;
Baruch, Y .
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 2006, 14 (07) :629-633
[10]
Emergency management of agitation in schizophrenia [J].
Marco, CA ;
Vaughan, J .
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2005, 23 (06) :767-776