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老年精神分裂症患者的计算机断层扫描研究。

Computed tomographic study of aged schizophrenic patients.

作者信息

Seno H, Shibata M, Fujimoto A, Kuroda H, Kanno H, Ishino H

机构信息

Department of Psychiatry, Shimane Medical University, Izumo, Japan.

出版信息

Psychiatry Clin Neurosci. 1997 Dec;51(6):373-7. doi: 10.1111/j.1440-1819.1997.tb02602.x.

Abstract

The width of interhemispheric fissure, lateral ventricles and third ventricle were measured using cranial computed tomography (CT; linear method) in 45 elderly inpatients with chronic schizophrenia and in 28 age-matched control subjects. Twenty-three patients were men and 22 were women. In addition, Mini-Mental State Examination, Brief Psychiatric Rating Scale (BPRS) and a subclass of BPRS were undertaken in all patients. There is a significant enlargement of the maximum width of the interhemispheric fissure (in both male and female) and a significant enlargement of the ventricular system (more severe in men than in women) in aged schizophrenics, as seen with CT, compared with normal controls. These findings are consistent with previous studies of non-aged schizophrenic patients. Based upon the relation between the third ventricle enlargement and the positive and depressive symptoms in all patients. This result suggests that the advanced third ventricle enlargement may decrease these symptoms in aged schizophrenics.

摘要

采用头颅计算机断层扫描(CT;线性测量法)对45例老年慢性精神分裂症住院患者及28例年龄匹配的对照者测量大脑半球间裂、侧脑室和第三脑室的宽度。患者中男性23例,女性22例。此外,对所有患者进行简易精神状态检查表、简明精神病评定量表(BPRS)及其一个子类别评估。CT检查显示,与正常对照组相比,老年精神分裂症患者大脑半球间裂最大宽度显著增大(男女皆是),脑室系统显著增大(男性比女性更严重)。这些发现与既往对非老年精神分裂症患者的研究一致。基于所有患者第三脑室扩大与阳性和抑郁症状之间的关系。该结果提示,第三脑室的进一步扩大可能会减轻老年精神分裂症患者的这些症状。

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