心理发作非发作-高死亡率是一个'警钟'
1Minnesota Judicial Branch Psychological Services Division, Minneapolis, MN 55487, USA.
Journal of personalized medicine
|June 28, 2023
概括
患有精神性非发作 (PNES) 的患者的死亡率很高,类似于患者. 这表明PNES患者经常患有未被诊断的耐药性,需要适当的治疗.
科学领域:
- 神经学 神经学
- 临床神经生理学 临床神经生理学
- 精神病学是一个精神病学.
背景情况:
- 与普通人群相比,患者的死亡率增加.
- 最近的研究表明,在被诊断患有心理非发作 (PNES) 的患者中,死亡率相似.
- PNES是的关键差异诊断,因此准确的诊断是必不可少的.
研究的目的:
- 调查和PNES患者观察到的可比死亡率背后的原因.
- 重新评估头皮EEG的诊断准确性,以区分发作和PNES.
- 确定这两组患者死亡的根本原因.
主要方法:
- 对监测单位的诊断实践进行全面审查.
- 对PNES和患者队伍的死亡率现有研究的分析.
- 对有关PNES和患者群体的一般临床文献进行了审查.
主要成果:
- 头皮脑电图 (EEG) 测试,用于区分精神病发作和发作,显示出显著的错误性.
- PNES和患者群体的临床特征非常相似.
- 这两组都经历了自然和非自然原因的死亡率,包括与活动相关的突然意外死亡.
结论:
- 相似的死亡率表明,许多被诊断为PNES的患者实际上患有耐药性头皮EEG负性发作.
- 准确的诊断和治疗对于减少PNES患者的发病率和死亡率至关重要.
- 应为PNES患者提供已建立的治疗方法,以减轻健康风险.
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