277例“肇事精神分裂症患者”临床分析  

The Clinical Characters of Schizophrenics with coursing trouble behaviors

作　　者：秦虹云[1] 梅久红[1] 

机构地区：[1]上海市浦东新区精神卫生中心,上海200124

出　　处：《中国民康医学》2009年第11期1210-1212,1215,共4页Medical Journal of Chinese People’s Health

摘　　要：目的：对2003年1月至2007年12月浦东新区精神卫生中心收治的所有非本市“肇事精神分裂症患者”进行临床分析，总结。方法：采用自编的调查量表，将数据输入SPSS 10．0，采用参数及非参数统计方法进行分析。结果：5年共计277例精神分裂症患者，平均年龄（31．46±10．10）岁（46例年龄不详）；14例（5．05％）共病躯体疾病；接受氯丙嗪治疗者229例，平均治疗剂量为（335．80±128．71）mg／d；44例（15．9％）给予两种抗精神病药物联合治疗，合并药物以氯氮平为主；152例（54．9％）患者由于行为紊乱，采取过保护护理；103例患者（37．2％）采用改良电休克治疗。救助站送回患者85例（32．8％）。结论：5年收治的“肇事精神分裂症患者”多为中青年；肇事精神分裂症患者由于既往史不详，常需要进行详细的体格检查，避免贻误躯体疾病的诊治；治疗药物以氯丙嗪为主；同时在治疗过程中保护护理、联合用药，及氯氮平使用率呈现下降的趋势。未来的研究着重在普及精神卫生知识后是否可以改善患者的转归。Objective ：To study the clinical characters of schizophrenics who had coursing trouble behaviors and hospitalized in the Pudong mental health centre from January 2003 to December 2007. Methods：All the patients were surveyed by the Self - edited Questionnaire which included the general health state, diagnoses, treatment, etc. All the data were put in and analyzed with the soft-ware SPSS10.0. Results： Altogether, 277 schizophrenics with coursing trouble behaviors were hospitalized in the Pudong mental health centre from January 2003 to December 2007. Their mean ages was 31.46 ± 10. 10 years （including 46 patients with no exactly records）. Fourteen schizophrenics（5.05% ）comprised with somatic disease. Two hundred and twenty- nine patients were used chlorpromazine, and the mean therapeutically doses was 335.80 ± 128.71 mg per day. 44 schizophrenics（ 15.9% ）were treated with more than one antipsychotic, mostly combined with Clozapine. 152 patients were accepted protective restraints because of their conduct disorders. 103 patients were treated with modified electric convulsive treatment （MECT）. 85 patients were discharged by the help - seeking centre. Conclusions： Most of the schizophrenics with coursing trouble behaviors were young. They need to be paid more attention to their health because of no relatives at hand. Chlorpromazine was the main therapeutic drug. It showed the descending tendency in the hospitalization that the patients were accepted protective restraints, combined with other antipsychotic and used Clozapine.

关 键 词：精神分裂症 共病 肇事 

分 类 号：R749.3[医药卫生—神经病学与精神病学]