發(fā)布時間：2018-03-16 21:21

  本文選題：集體性癔癥　切入點：臨床特征　出處：《新疆醫(yī)科大學》2014年碩士論文　論文類型：學位論文

【摘要】：目的：探討一起集體性癔癥的誘發(fā)因素,描述其臨床特征,并對干預措施進行總結。提高醫(yī)務人員對該疾病的認識。方法：廣東某工廠發(fā)生應激事件后,54例患者診斷為集體性癔癥,收集患者社會人口學資料、發(fā)病前情況和臨床癥狀,予以藥物和心理治療,并于治療前及治療1周、2周和4周時進行漢密爾頓焦慮量表(HAMA)評定。結果：患者平均(20.26±2.04)歲,女38例,男16例�；颊呔繐袅硕窔录�,50例患者表示事件后最擔心自身安全。47例(87.0%)患者出現(xiàn)痙攣或抽搐發(fā)作,分別有32例(59.3%)和29例(53.7%)患者出現(xiàn)情感爆發(fā)和發(fā)作性暈厥；癔癥性精神障礙和軀體障礙混合發(fā)作者為34例(62.96%)。治療前與治療1周、2周和4周后的HAMA評分,差異有統(tǒng)計學意義(P0.05)。治療1周后、2周后,54例患者中癥狀消失的組與癥狀持續(xù)的組HAMA評分,差異有統(tǒng)計學意義(P0.05)。結論：目擊斗毆事件、對自身安全的擔心是本次集體性癔癥的誘因；患者以癔癥性精神障礙和軀體障礙混合發(fā)作為主要癥狀；控制集體性癔癥流行的首要任務在于緩解人群的焦慮情緒。
[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 鹵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.
【學位授予單位】：新疆醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R749.73

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相關期刊論文 前1條

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本文編號：1621699