酒精所致震颤谵妄相关因素研究.pdfVIP

2014年4月 中国民康医学 Apr,2014 第26卷摇 上半月摇 第7期摇 摇 摇 摇 摇 摇 摇 Medical Journal of Chinese Peoples Health摇 摇 摇 摇 摇 摇 摇 Vol.26摇 FHM摇 No.7 揖论摇 摇 著铱 酒精所致震颤谵妄相关因素研究 王桂英,李宁宁,郭卜豪 (本溪市康宁医院,辽宁摇 本溪摇 117019) 揖摘要铱摇 目的:研究使用酒精所致的精神和行为障碍患者出现震颤谵妄(delirium tremens,DT)的相关因素。 方法:对118例首次住院 的男性使用酒精所致精神和行为障碍患者,按照是否出现DT分为两组,对酒依赖年限、饮酒量和实验室检查(肝功、肾功、心肌酶、血细胞和电 解质等)相关指标进行比较。 结果:出现DT 的51例患者,日饮酒量大,谷草转氨酶、谷氨酸转氨酶及肌酸激酶显著升高;而血红蛋白、红细胞、 血小板及钾则显著降低,与非DT组相比,差异均有统计学意义(P0.05或P0.01)。 结论:使用酒精所致的精神和行为障碍患者,日饮酒量 大小,血液相关指标(转氨酶、心肌酶、血细胞及钾等)对DT具有一定意义。 揖关键词 铱摇 震颤谵妄;日饮酒量;血液相关指标 doi:摇 10.3969/ j.issn.1672-0369.2014.07.005 中图分类号:摇 R749.62摇 摇 摇 摇 文献标识码:摇 B摇 摇 摇 摇 文章编号:摇 摇 1672-0369(2014)07-0010-02 Study on relatedfactors of deliriumtremens causedby alcohol WANGGui-ying,LI Ning-ning,GUOBu-hao (Benxi Kangning Hospital,Liaoning 117019,China) 揖Abstract铱摇 Objective:To research relatedfactors of delirium tremensfor patientswith mental and behavioral disorders caused by alcohol. Methods:118maleinpatientswithmental andbehavioral disorderscausedby alcoholweredividedintotwogroups (deliri鄄 um tremens and non delirium tremens) in terms of delirium tremens occurrence. The alcohol dependence years,alcohol consumption and laboratory examination (hepaticfunction,renal function,myocardial enzyme,blood cells,and the electrolyte,etc.) were com鄄 pared.Results:Comparedwith non deliriumtremensgroup,deliriumtremensgroup (51cases)showedhigher daily alcohol consump鄄 tion,AST,GGT,andCK,butlowerLevelsinHGB,HRB,PLT,andK,andthedifferenceswerestatistically significant (P0.05or P0.01).Conclusions:Thebloodrelated indexesand daily alcohol consumption of the inpatientwith mental andbehavioral disorders caused by alcohol to some degree can predict delirium tremens. 揖Key words铱Delirium tremens;D