126例使用酒精所致精神和行为障碍患者的脑电图分析(1)
【摘要】 目的 探讨使用酒精所致精神和行为障碍患者的脑电图变化及其与饮酒量、饮酒史和临床类型的关系。方法 回顾性分析126例使用酒精所致精神和行为障碍患者的住院资料。结果 126例患者中脑电图正常66例(正常组)， 异常60例(异常组)， 正常组饮酒量为125～800 g/d， 平均饮酒量(295.2±94.6)g/d， 异常组饮酒量为130～875 g/d， 平均饮酒量(299.0±94.0)g/d， 两组比较差异无统计学意义(P>0.05)。饮酒史正常组为2～36年， 平均饮酒史(17.2±9.02)年， 异常组3～45年， 平均饮酒史(21.0±9.6)年， 两组比较差异无统计学意义(P>0.05)；两组震颤谵妄、遗忘综合征发生情况比较差异有统计学意义(P<0.05)。结论 使用酒精所致精神和行为障碍对脑功能影响及对脑组织的损害是弥漫性的， 脑电图异常与饮酒量及饮酒史无关， 与临床表现类型有关。
【关键词】 酒精；精神和行为障碍；脑电图
DOI：10.14163/j.cnki.11-5547/r.2016.08.012
Analysis of electroencephalogram in 126 cases with ethyl alcohol-induced mental and behavioural disorders WANG Yu-ming. Shandong Jiaozhou City Psychological Rehabilitation Hospital， Jiaozhou 266308， China
【Abstract】 Objective To investigate change of electroencephalogram in patients with ethyl alcohol-induced mental and behavioural disorders， and its relationship with drinking amount， history of alcohol intake and clinical classification. Methods Hospitalization data of 126 patients with ethyl alcohol-induced mental and behavioural disorders were retrospectively analyzed. Results Among the 126 patients， 66 cases had normal electroencephalogram (normal group) and 60 cases had abnormal electroencephalogram (abnormal group). The normal group had drinking amount as 125～800 g/d， with the average amount as (295.2±94.6) g/d， and the abnormal group had drinking amount as 130～875 g/d， with the average amount as (299.0±94.0) g/d. There was no statistical significance of the difference between the two groups (P>0.05). The normal group had history of alcohol intake as 2～36 years， with the average time as (17.2±9.02) years， and the abnormal group had history of alcohol intake as 3～45 years， with the average time as (21.0±9.6) years. The difference between the two groups had no statistical significance (P>0.05). The difference of occurrence of delirium tremens and amnestic syndrome between the two groups had statistical significance (P<0.05). Conclusion Ethyl alcohol-induced mental and behavioural disorders shows diffuse damage to brain function and tissue. Electroencephalogram is related with classification of clinical manifestations， while not with drinking amount and history of alcohol intake.
【Key words】 Ethyl alcohol； Mental and behavioural disorders； Electroencephalogram
本次对本院住院治疗的126例使用酒精所致精神和行为障碍患者进行常规脑电图检查， 结果分析如下。
1 资料与方法
1. 1 一般资料 回顾性分析2006年9月～2014年8月在本院住院的126例患者的临床资料， 所有病例依据疾病和有关健康问题的国际统计分类(第10次修订本)(ICD-10)有关使用酒精所致精神和行为障碍诊断标准进行再诊断， 皆符合使用酒精所致精神和行为障碍的诊断标准[1]。126例患者均在第1周接受脑电图检查， 全部为男性。年龄21～71岁， 平均年龄(45.8±9.7)岁；饮酒史2～45年， 平均饮酒史(20.2±10.5)年；每日饮酒量(折合纯酒精)125～875 g， 平均日饮酒量(299.0± 94.9)g；农民94例， 工人20例， 干部7例， 无业1例， 其他4例；大学4例， 高中14例， 初中56例， 小学和文盲52例；伴有吸烟者102例；住院1次者100例， 住院2～7次者26例。, http://www.100md.com(王玉明)
【关键词】 酒精；精神和行为障碍；脑电图
DOI：10.14163/j.cnki.11-5547/r.2016.08.012
Analysis of electroencephalogram in 126 cases with ethyl alcohol-induced mental and behavioural disorders WANG Yu-ming. Shandong Jiaozhou City Psychological Rehabilitation Hospital， Jiaozhou 266308， China
【Abstract】 Objective To investigate change of electroencephalogram in patients with ethyl alcohol-induced mental and behavioural disorders， and its relationship with drinking amount， history of alcohol intake and clinical classification. Methods Hospitalization data of 126 patients with ethyl alcohol-induced mental and behavioural disorders were retrospectively analyzed. Results Among the 126 patients， 66 cases had normal electroencephalogram (normal group) and 60 cases had abnormal electroencephalogram (abnormal group). The normal group had drinking amount as 125～800 g/d， with the average amount as (295.2±94.6) g/d， and the abnormal group had drinking amount as 130～875 g/d， with the average amount as (299.0±94.0) g/d. There was no statistical significance of the difference between the two groups (P>0.05). The normal group had history of alcohol intake as 2～36 years， with the average time as (17.2±9.02) years， and the abnormal group had history of alcohol intake as 3～45 years， with the average time as (21.0±9.6) years. The difference between the two groups had no statistical significance (P>0.05). The difference of occurrence of delirium tremens and amnestic syndrome between the two groups had statistical significance (P<0.05). Conclusion Ethyl alcohol-induced mental and behavioural disorders shows diffuse damage to brain function and tissue. Electroencephalogram is related with classification of clinical manifestations， while not with drinking amount and history of alcohol intake.
【Key words】 Ethyl alcohol； Mental and behavioural disorders； Electroencephalogram
本次对本院住院治疗的126例使用酒精所致精神和行为障碍患者进行常规脑电图检查， 结果分析如下。
1 资料与方法
1. 1 一般资料 回顾性分析2006年9月～2014年8月在本院住院的126例患者的临床资料， 所有病例依据疾病和有关健康问题的国际统计分类(第10次修订本)(ICD-10)有关使用酒精所致精神和行为障碍诊断标准进行再诊断， 皆符合使用酒精所致精神和行为障碍的诊断标准[1]。126例患者均在第1周接受脑电图检查， 全部为男性。年龄21～71岁， 平均年龄(45.8±9.7)岁；饮酒史2～45年， 平均饮酒史(20.2±10.5)年；每日饮酒量(折合纯酒精)125～875 g， 平均日饮酒量(299.0± 94.9)g；农民94例， 工人20例， 干部7例， 无业1例， 其他4例；大学4例， 高中14例， 初中56例， 小学和文盲52例；伴有吸烟者102例；住院1次者100例， 住院2～7次者26例。, http://www.100md.com(王玉明)