51例精神分裂症与心境障碍诊断变更的对照分析  

Comparative analysis on diagnostic change between schizophrenia and mood disorder

作　　者：邓家佩[1] 崔明[1] 张俊[1] 

机构地区：[1]安徽省荣军医院,安徽蚌埠233400

出　　处：《中国民康医学》2011年第17期2138-2139,共2页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨精神分裂症与心境障碍诊断相互变更的规律和特点。方法:在6年间住我院2次及以上,诊断为精神分裂症或心境障碍的544例病历中筛选出两者诊断变更者共65例,按中国精神障碍分类与诊断标准第3版分别再诊断,符合入组标准者51例。并随机抽取未更改诊断的同期2次及以上住院患者50人做对照组。结果:精神分裂症→心境障碍20例;心境障碍→精神分裂症31例。心境障碍者更易更改诊断;心境障碍的患者,尤其是伴精神病性症状、生物学特征和间歇期不明显者易更改为精神分裂症;精神分裂症有明显间歇期者易更改为情感障碍。结论:精神分裂症和心境障碍的诊断并非固定不变的,两者可相互变更,心境障碍的患者更易更改诊断。Objective：To explore the rule and the features in patients with diagnostic change between schizophrenia and mood disorder. Methods：65 patients with diagnostic change between schizophrenia and mood disorder were found out of 544 patients who had hospitalized two times or more in the past 7 years. The 65 patients were re - diagnosed according to Chinese Classification and Diagnostic Criteria of Mental Disorder Version 3 and 51 patients of them met with the standard above. Random in the same period did not change the diagnosis of more than 2 times and hospitalized 50 people as control group. Results： 20 patients diagnosed shifting from schizophrenia to mood disorder;31 patients diagnosed shifting from mood disorder to schizophrenia; more changes in patients with mood disorder diagnosis. ; Patients with mood disorders, particularly psychotic symptoms, biological characteristics and the interim period no significant changes were easy to schizophrenia： schizophrenia have significant interval change of mood disorder are prone. Conclusions： The diagnosis of schizophrenia and mood disorders is not fixed, the two can mutually change, more changes in patients with mood disor- der diagnosis.

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] R749.5[医药卫生—临床医学]