精神分裂症与心境障碍诊断变更的特征比较  

A study of clinical features comparison in patients with diagnostic change shifting between schizophrenia and mood disorder

作　　者：谈成文[1] 蔡伟[1] 祖先勇 杨丽[1] 

机构地区：[1]安徽淮南市精神病医院,232052

出　　处：《临床精神医学杂志》2008年第4期234-235,共2页Journal of Clinical Psychiatry

摘　　要：目的:探讨精神分裂症和心境障碍诊断相互变更的特征。方法:从10年间住院2次的786例病例中筛查出交替出现过心境障碍和精神分裂症诊断的患者93例,对其人口学资料和临床表现进行比较。结果:女性、家族史阴性、起病较早、首次病程短及心境障碍伴精神病性症状者较易变更诊断;起病年龄较大的首次诊断为精神分裂症患者,再次住院时易变更诊断为心境障碍。结论:精神分裂症的诊断并非固定不变,与心境障碍二者间可相互变更。Objective： To investigate the features in patients with diagnostic change shifting between schizophrenia and mood disorder. Method：To compare the clinical features and demographic information of the 93 patients before and after the diagnostic shifting,93 patients with diagnostic alternately shifting between schizophrenia and mood disorder were recruited from 786 patients who had hospitalized two times in 10 years. Results ：The diagnosis in female patients with negative family history, early onset, short courses of first episode and mood disorder with psychotic symptoms is usually easy to change. The diagnosis in the first episode schizophrenia in the old changed to mood disorder easily after their relapse. Conclusion：The diagnosis of schizophrenia is not unchangeable,alternating with mood disorder.

关 键 词：精神分裂症 心境障碍 诊断 

分 类 号：R749.3[医药卫生—神经病学与精神病学]