精神分裂症患者行为障碍4000例分析  

Behavioural disturbances in 4 000 schizophrenic patients

作　　者：陆明康[1] 殷美莉[1] 熊祥玉[1] 周金娣[1] 方华[1] 张文政 郭珍[1] 罗建龙 张良栋[1] 徐韬园[1] 张明园[1] 潘玉凤 赵建桐 行养玲[3] 于春 耿耀雨 蒲晓庆 卞加德 汪晓芸 刘本秀 吴积涵 刘战云 陈美娣[11] 

机构地区：[1]上海市精神卫生中心,200030 [2]山东泰安精神病院 [3]西安市精神卫生中心 [4]辽宁省精神病防治院 [5]四川南充精神病院 [6]扬州五台山医院 [7]安徽黄山第二人民医院 [8]广西柳州龙泉山医院 [9]福建泉州第三医院 [10]黑龙江省第三医院 [11]上海浦东新区精神卫生中心

出　　处：《临床精神医学杂志》1999年第6期326-328,共3页Journal of Clinical Psychiatry

摘　　要：目的：了解精神分裂症患者的行为障碍表现和临床意义。　方法：对１９９２ 年１０月～１９９４年６月全国９ 省１ 市１１所精神病院住院，符合ＣＣＭＤ－２ 精神分裂症诊断标准的患者顺序抽样，共４ ０００例。除单独的面部表情动作外， 凡用２～６ 个字能准确表达一种行为障碍形式者即列为１ 项， 用自制半定式调查表登记。　结果： 有明显行为障碍者３ ９２１ 例 （９８．０％ ）。行为障碍的表现形式可归为３大类４４ 项。　结论： 精神分裂症患者的行为障碍形式繁多， 其性质与妄想、幻觉和思维障碍密切相关， 具有冲动性、怪异性和紊乱性。呆滞、疏懒和孤独等行为属于 “阴性”症状。作者就此作了探讨。Objective:To study the pattern and clinical significance of behavioural problems in schizophrenia. Method:Four thousand schizophrenic patients admitted consecutively to 11 mental hospitals in Shanghai and nine provinces between October 1992 and June 1994 and diagnosed according to CCMD 2 were included in the study.Subjects were assessed with a list of 44 items of behavioural disturbances. Results:3 921 patients (98 0%) were found to exhibit behavioural disturbances which could be classified into three categories, simple odd facial expression being excluded. Conclusion:The form of behavioural disturbances in schizophrenia vary and the presentations among inpatient are closely related to the presence of hallucination,delusion and thought disorder. Impulsivity, bizarreness and disorganisation are characteristic.Slowness, indolence and withdrawal represent negative symptoms.

关 键 词：精神分裂症 行为障碍 病例分析 

分 类 号：R749.3[医药卫生—神经病学与精神病学]