本文選題：短暫性全面性遺忘　切入點(diǎn)：高血壓　出處：《中國(guó)老年學(xué)雜志》2017年21期

【摘要】：目的探討中國(guó)地區(qū)符合Caplan和Hodges診斷標(biāo)準(zhǔn)的短暫性全面性遺忘(TGA)的研究現(xiàn)狀及其臨床特點(diǎn)。方法檢索中國(guó)生物醫(yī)學(xué)文獻(xiàn)數(shù)據(jù)庫(kù)(CBM)、相關(guān)期刊論文(CNKI)和維普中文科技期刊數(shù)據(jù)庫(kù)(VIP)中文數(shù)據(jù)庫(kù),檢索時(shí)間均從建庫(kù)至2015年7月,納入明確提及TGA且符合納入標(biāo)準(zhǔn)的研究。結(jié)果初檢到543篇文獻(xiàn),最終納入57篇文獻(xiàn),56篇為病例報(bào)道,1篇為前瞻性病例對(duì)照研究。共納入339例病例,TGA伴隨的基礎(chǔ)疾病中前三位是高血壓、血脂異常和冠心病;TGA發(fā)作時(shí)無(wú)明顯誘因者183例(53.98%),明確提及發(fā)作誘因者126例(37.17%),誘因主要包括勞累(57例)、情緒激動(dòng)(49例)、飲酒(10例)。輔助檢查中經(jīng)顱超聲多普勒(TCD)及單光子發(fā)射計(jì)算機(jī)斷層掃描(SPECT)對(duì)TGA患者的病灶檢出率較其他檢查方法明顯增高(P0.05);而TCD與SPECT相比其檢出率無(wú)統(tǒng)計(jì)學(xué)差異(P0.05)。TGA尚無(wú)特異性治療方案,復(fù)發(fā)率低。結(jié)論中國(guó)地區(qū)有關(guān)TGA的研究大多數(shù)是病例報(bào)道;TGA患者伴隨的基礎(chǔ)疾病多為心腦血管危險(xiǎn)因素,絕大多數(shù)TGA患者發(fā)作時(shí)無(wú)誘因,TCD及SPECT檢查可能有助于TGA的診斷,該病尚無(wú)特異性治療方案且復(fù)發(fā)率低。
[Abstract]:Objective to investigate the current status and clinical characteristics of transient comprehensive amnesia (TGA) in China, which meets the diagnostic criteria of Caplan and Hodges. Methods the Chinese biomedical literature database, CNKI (Chinese Journal Full-text Database) and Weipu Chinese were searched. Science and Technology Journals Database (VIP) Chinese Database, The retrieval time was from the construction of the database to July 2015, and included the research that explicitly mentioned TGA and met the inclusion criteria. 56 cases were included as case reports and 1 case control study was carried out. Hypertension was the first three diseases associated with TGA in 339 cases. There were 183 cases of dyslipidemia and coronary heart disease with no obvious inducement during TGA attack, 126 cases (37. 17%) mentioned explicitly as inducement, including 57 cases of tiredness, 49 cases of emotional agitation, 10 cases of alcohol consumption. Single photon emission computed tomography (SPECT) showed that the detection rate of TGA was significantly higher than that of other methods, but there was no significant difference in the detection rate between TCD and SPECT. Conclusion the basic diseases associated with TGA in China are mostly cardiovascular and cerebrovascular risk factors. Most of the patients with TGA may be helpful in the diagnosis of TGA without any inducement. There is no specific treatment and the recurrence rate is low.
【作者單位】： 鄭州市第二人民醫(yī)院;鄭州大學(xué)第二附屬醫(yī)院;
【分類號(hào)】：R741
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本文編號(hào)：1678699