慢性精神病患者自我意识障碍的临床分析  

A clinical analysis of self-consciousness disturbance in chronic schizophrenia

作　　者：亢明[1] 许本健[1] 姜国学[1] 赵半戎 

机构地区：[1]杭州市公安局安康医院

出　　处：《四川精神卫生》1998年第1期10-12,共3页Sichuan Mental Health

摘　　要：目的探索自我意识障碍在慢性精神病中的临床表现、特征、诊断价值及预后。方法对我院１９９６年底在院的住院患者，符合ＣＣＭＤ—２—Ｒ精神疾病的有关诊断标准，病期５年以上，按Ｊａｓｐｅｒ的自我意识障碍分类，由二名医师分别逐例填写“自我意识障碍”调查表。结果符合入组标准的３６７例慢性精神病中有６３例出现自我意识障碍。以自我能动性和自我界限性意识障碍同时出现为多见（２１例；３３．３％），也有自我存在性和自我界限性意识障碍同时出现。结论自我意识障碍症状以慢性精神分裂症为多见，也可见于情感性障碍和癫痫伴发精神障碍。在精神分裂症诊断上存在有一定的局限性，只有排除其他精神疾病、方能作为一项有较高诊断价值的特征性症状。Objective The article analysed clinical manifestations、characters、diagnostic value and prognosis of self consciousness disturbance(SCD) in chronic schizophrenia.Method The 63 schizophrenic patients with SCDS(according to Jaspers'classification criteria) were selected from 367 with chronic schizophrenia at the end 1996,all patients who met CCMD—2—R criteria for schizophrenia.Result The coexistence rate of both disturbances of the consciousness of self activity and the boundary of self were higher(21 cases;33.3%)than that of any other types of SCDS.Conclusions The SCDS were frequently occurrence in the chronic schizophrenia,but also they were found in other psychoses disease such as affective disorder and epilepsy etc.However they may be helpful for making the diagnosis of schizophrenia but the range is limited.In addition,their improvement is relatively rapid,if they have received an adequate drugs.

关 键 词：慢性精神病 自我意识障碍 预后 诊断 治疗 

分 类 号：R749[医药卫生—神经病学与精神病学]