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ID:19862135
大小:277.50 KB
页数:11页
时间:2018-10-07
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1、BipolardisorderKeyslidesWhatisbipolardisorder?NICEBipolardisorderguidelines2006www.nice.org.ukAchronicrelapsingandremittingdisorderAbnormallyelevatedmoodorirritabilityalternateswithdepressedmoodInmostcasesdepressiveepisodesaremorefrequentthanmaniconesBipolarI–oneormoremanicormixed
2、episode,oftenaccompaniedbyoneormoremajordepressiveepisodeBipolarII–oneormoremajordepressiveepisode,accompaniedbyoneormorehypomanicepisodeSomebackgroundinformationNICEBipolardisorderguidelines2006www.nice.org.ukEarlyonsetusuallybefore30years(peakinlateteens)Causeunclearalthoughther
3、eisageneticcomponent;thereisnocureCo-morbiditycommone.g.anxiety,personalitydisorder,drug/alcoholabuseHighriskofsuicideCorrectdiagnosisdifficultbutisessentialforeffectivetreatmentoftenmisdiagnosedasdepressioninitiallyfrequentlyonlyrecognisedonlyafterseveralperiodsofpsychologicalors
4、ocialdisturbanceRecognitionneedsimprovingtoenableearlydiagnosis/referralandappropriatetreatmentGPshaveimportantroletoplayinthisLong-termmanagementNICEBipolardisorderguidelines2006;www.nice.org.ukLong-termtreatmentandsupportarerequiredtominimisetheriskofrecurrenceofmanicanddepressi
5、veepisodesandoptimisequalityoflife,socialandpersonalfunctioningImportant:collaborativerelationshipwithpatientsandfamiliescontinuityofcarecrisissupportanintegrated(primaryandsecondary)careplanareallimportantTheprimarylong-termtreatmentsaredrugs,butpsychological/psychosocialtherapy/
6、supportarealsoimportantInitiatelong-termdrugs:afteramanicepisodewithsignificantriskandadverseconsequencesbipolarI:twoormoreacuteepisodesbipolarII:evidenceofsignificantfunctionalimpairmentorriskofsuicideorfrequentlyrecurringepisodesSupportlong-termpharmacologicaltreatmentwww.nice.o
7、rg.uk/nicemedia/pdf/implementation_tools/CG38presenterslides.pptPrescribingadvisersshouldbeawareofNICEguidance,andwhattoconsiderwhenchoosingtreatment(updateprescribingpoliciesandformulariesaccordingly)Focusonoptimisingappropriatelong-termtreatmentSupportpatienteducationandempowerm
8、entinpharmacologicaltreatmentandm
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