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单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,塑情感诊疗新进展,Evaluauon onr.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,斑循型感,alpidGychng(RC,概念,流行病学资料,生物学基础,治疗,Evaluauon onr.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,快速循环型(RC概念,RC是情感障碍(AD)中一种以频繁(循环),发作的特殊形式病程为特点。其频率以,每年4次发作或两个循环(躁狂M抑郁D)以,上为一端,另可有短至以48小时为一循,环的极快速循环 altro-rapid cycling或称缩,短的快速循环(truncated rapid cycling为另,端,而中间可有不同次数和发作期的,发作或循环,Evaluauon onr.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,快速循环型(RC能念,在一个循环中,不论由MD,或DM,中间常无明显的正常间歇,只是症状,很轻,易被忽略而误认为正常间歇期。,Evaluauon onr.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,快速循环型(RC能念,由于RC仅见于双相(BP障碍,故一般称,之为快速循环双相障碍(CBPD),且更,多见BP型中,统计说明有71.5%,835%RC发生于BP型中,在非 RCBPD,NRCBPD中只有373%为BP型,Evaluauon onr.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,快速循环型(RC概念,在RC中,不论是抑郁发作,轻躁狂或躁,狂发作,均应符合其症状严重度标准,而不要求符合其发作的病期标准。,RC病程可以是自发性病程,也可以是抗,抑郁治疗(尤以抗抑郁剂)促发,特别是促,发躁狂或轻躁狂后易转为RC病程。,Evaluauon onr.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,快速循环型(RC能念,RC被看做是BP中的恶性病程形式,其,疗(阻断反复循环发作)甚为困难,此为,RC BPD的另一特征。,Evaluauon onr.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,患病率,国内临床统计,RC占AD中79,14.9,占BP中2881%。国外报道RC占,AD中15%,占BP中15.2%24.20%。有学,者认为,RC患病率可能言过其实,因其,难处理而更多在专科或专病机构中多见,Evaluauon onr.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,RC发病年龄,任何年龄均可发生RC,儿童青少年,者多见及RC发作,且1/3患者伴精神病性,症状,1/2为混合性发作,约1/2有自杀,观念、企图或自杀死亡,老年人相对少,见,转RC时年龄:MD发病后平均5年,年龄32.4岁,Evaluauon onr.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,RC的性别分布,男:女=1:2.53,占女性BPD中296%,占男性BPD中,16.6%,女性多见RC的有关因素,女性患抑郁多,用抗抑郁药促发多,甲状腺功能低下者多于男性,Evaluauon onr.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,
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