慢性精神分裂症综合康复治疗前后认知功能的比较研究  

Comparison of cognitive function in chronic schizophrenia patients at baseline to that after comprehensive rehabilitation therapy

作　　者：陆永艳[1] 王正午[1] 

机构地区：[1]天津市安定医院,300122

出　　处：《神经疾病与精神卫生》2011年第2期161-163,共3页Journal of Neuroscience and Mental Health

摘　　要：目的探讨综合康复训练对于慢性精神分裂症患者认知功能的改善情况。方法64例慢性精神分裂症患者劳动技能训练、生活技能训练、健康教育以及心理治疗等综合康复措施，与治疗前后分别采取简明精神症状量表（BPRS），住院精神病人康复疗效评定量表（IPR0s）和威斯康星卡片分类测验（WCST）进行评定。结果治疗6个月后，64例患者的BPRS、IPROS和wCST较治疗前有显著性改变（P〈0．01）。WCST的分类数、正确数明显提高（P〈0．01）；总错误数、持续错误数和随机错误数明显降低（P〈0．01）。结论综合康复训练能有效改善慢性精神分裂症患者的精神症状，提高患者的康复疗效，改善患者的认知功能。Objective To study the effect of comprehensive rehabilitation therapy on the cognitive function of patients with chronic schizophrenia. Methods 64 patients with chronic schizophrenia received labor skills training, life skill training, health education and psychotherapy. To evaluate the efficacy of the comprehensive rehabilitation therapy, patients were assessed using BPRS,IPROS and WCST before and after the treatment. Results Six months later, the scores of the patients were significantly improved in BPRS and IPROS （P〈 0.01） assessment. In WCST,the sorting times,correct times were significantly higher than baseline （P 〈 0. 01）, while the total error times,preservative errors and random errors were significantly lower （P〈 0.01）. Conclusions The comprehensive rehabilitation therapy not only reduced the psychiatric symptoms, but also improved patients＇ cognitive function and rehabilitation efficacy.

关 键 词：康复 认知 慢性精神分裂症 

分 类 号：R749.3[医药卫生—神经病学与精神病学]