本文關(guān)鍵詞： 艾滋病病人 精神疾病 臨床特點(diǎn) 治療轉(zhuǎn)歸　出處：《中國(guó)艾滋病性病》2017年06期 　論文類型：期刊論文

【摘要】：目的分析艾滋病病毒(HIV)相關(guān)的精神疾病的患病率、臨床特點(diǎn)、治療及轉(zhuǎn)歸,為HIV相關(guān)的精神疾病病人的診療提供依據(jù)。方法對(duì)云南省傳染病專科醫(yī)院/艾滋病關(guān)愛(ài)中心2008年1月至2014年4月首次住院的HIV感染者/艾滋病(AIDS)病人(簡(jiǎn)稱HIV/AIDS病人)及相關(guān)精神疾病的病人進(jìn)行回顧分析。結(jié)果 3 921例HIV/AIDS住院病人中,HIV相關(guān)的精神疾病41例,患病率為1.05%;平均年齡(38.07±10.23)歲(31~40)歲,無(wú)業(yè)者19例(46.34%),靜脈吸毒傳播的21例(51.22%),異性性傳播18例(43.90%),合并丙型肝炎17例(41.46%),合并乙型肝炎2例(4.88%)。41例HIV相關(guān)的精神病組病人中,20例有抑郁癥,10例譫妄,9例癡呆,抑郁及躁狂雙向表現(xiàn)者2例;其中21例有明顯的自殺傾向,20例有妄想。41例均給予精神科藥物治療及抗病毒治療(ART)和心理專科治療。ART半年隨訪監(jiān)測(cè)CD4~+T淋巴細(xì)胞計(jì)數(shù)平均增長(zhǎng)120個(gè)/μL,病毒載量檢測(cè)均低于檢測(cè)下限。在ART過(guò)程中依然給以精神科藥物維持治療,給予心理疏導(dǎo)治療,41例病人均未出現(xiàn)精神病發(fā)作現(xiàn)象。結(jié)論 HIV/AIDS病人中精神病患病率高,以青壯年為主,多合并靜脈吸毒病史,臨床上主要表現(xiàn)為抑郁癥,通過(guò)抗病毒治療和抗精神病藥物治療,大多數(shù)病人能有效控制病情。
[Abstract]:Objective to analyze the prevalence, clinical characteristics, treatment and outcome of mental disorders associated with HIV / AIDS. Methods to provide the basis for the diagnosis and treatment of patients with mental illness associated with HIV. Methods the patients with HIV / AIDSdisease (HIV/AIDS disease) who were first hospitalized in Yunnan Special Infectious Diseases Hospital / AIDS Care Center from January 2008 to April 2014 were selected as the basis for diagnosis and treatment. Results among the 3 921 inpatients with HIV/AIDS, 41 had HIV-related mental disorders. The average age was 38.07 鹵10.23 years old. Among the 19 cases of unemployed, 21 cases of intravenous drug abuse, 18 cases of heterosexual transmission, 17 cases of hepatitis C, 17 cases of hepatitis C, 2 cases of hepatitis B, 4. 88% and 41 cases of HIV related psychosis, 20 cases had depression and 9 cases of delirium dementia. Depression and mania in 2 cases; Of them, 21 cases had obvious suicidal tendency, 20 cases had delusion. 41 cases were treated with psychotherapy and antiviral therapy (ART) and psychological specialty treatment. The half year follow-up monitoring CD4T lymphocyte count increased by 120 cells / 渭 L, virus load test. All the tests were below the detection limit. During the course of ART, the patients were still treated with psychotropic drugs. Conclusion the prevalence rate of psychosis in 41 patients with HIV/AIDS is high, mainly in the young and middle-aged, and most of them have a history of intravenous drug abuse, and the main clinical manifestations are depression. Through antiviral and antipsychotic treatment, most patients can effectively control their condition.
【作者單位】： 云南省傳染病�？漆t(yī)院/艾滋病關(guān)愛(ài)中心;
【分類號(hào)】：R512.91;R749

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