Burtsev V I, Krasnovidova O N
Klin Med (Mosk). 1998;76(5):32-3.
170 patients with primary diagnosis of NCA underwent detailed examination by the therapist, neuropathologist, endocrinologist, urologist, gynecologist and psychiatrist. Primary diagnosis was confirmed only in 47 patients, the other 123 patients had different somatic, neurological or psychic disorders. These 47 and 123 patients were considered as having NCA as a syndrome and as an independent nosological entity, respectively. NCA as a syndrome was associated with blood hypertension, nervous asthenia, ischemic heart disease, spinal osteochondrosis. One third of the patients had neuropsychic disorders. The conclusion is made that all the NCA patients require detailed therapeutic, neurological and psychic examinations to exclude hypertension, asthenoneurotic states, ischemic heart disease and spinal osteochondrosis.
170例初步诊断为神经性循环无力症(NCA)的患者接受了治疗师、神经病理学家、内分泌学家、泌尿科医生、妇科医生和精神科医生的详细检查。仅47例患者确诊为原发性NCA,另外123例患者患有不同的躯体、神经或精神疾病。这47例和123例患者分别被视为患有作为一种综合征的NCA和作为一种独立疾病实体的NCA。作为一种综合征的NCA与高血压、神经衰弱、缺血性心脏病、脊椎骨软骨病有关。三分之一的患者有神经精神障碍。得出的结论是,所有NCA患者都需要进行详细的治疗、神经和精神检查,以排除高血压、虚弱性神经官能症、缺血性心脏病和脊椎骨软骨病。