干预措施对精神分裂症急性期伴自杀行为的疗效分析  

Analysis of effect of interventions in treatment of acute stage schizophrenia with suicide

作　　者：黄玉琴[1] 吴树跃[1] 汤妙瑜[1] 陈春红[1] 

机构地区：[1]汕头市第四人民医院,广东汕头515021

出　　处：《医药论坛杂志》2011年第15期41-42,45,共3页Journal of Medical Forum

摘　　要：目的探讨干预措施对预防急性期伴自杀行为精神分裂症患者的疗效。方法对70例精神分裂症急性期伴自杀行为患者随机分成两组,一组35例进行干预治疗(研究组),另一组35例没有进行任何干预(对照组),对两者有关资料进行比较分析。结果经过干预后研究组在第2周、第4周和第8周时自杀发生率明显减少,与对照组比较,存在显著统计学差异(P<0.05);研究组在第2周时PANSS总分、BPRS总分、焦虑抑郁和敌对猜疑明显好于对照组;在第四周时PANSS总分、BPRS总分、阳性症状、一般精神病理、焦虑抑郁、思维障碍和敌对猜疑明显优于对照组(P<0.05)。结论正确的干预措施能够降低急性期精神分裂症患者自杀行为的发生率,尤其对病情及精神病性症状、焦虑抑郁、思维障碍和敌对猜疑的治疗可有效减少自杀行为的发生。Objective To purpose of interventions for the prevention of acute stage with suicide in patients with schizophrenia. Methods On the 70 cases of schizophrenia acute stage with suicide patients randomly divided into two groups, a group of 35 cases of intervention treatment （ research group）, another group of 35 cases without any intervention （ control group）, on both the relevant information for comparative analysis. Results After intervention research group in the second week, the four weeks and 8 weeks significantly reduced the incidence of suicide, in comparison with control group, there are significant statistical difference （P 〈 0. 05 ） ; study group in the second week BPRS and PANSS total score, depression, anxiety, suspicion and hostility clearly better than those the control group; In PANSS total score, when around BPRS total, positive symptoms, general psychopathology, anxiety, depression, mental disorder and hostile suspicion clearly better than those the control group （P 〈 0. 05 ）. Conclusions Appropriate interventions can reduce acute schizophrenia patients＇incidence of suicidal behaviors, particularly for illness and psychotic symptoms, anxiety, depression, mental disorder and hostile treatment of suspicion and can effectively reduce the incidence of suicidal behavior.

关 键 词：干预措施 急性期 自杀 精神分裂症 疗效 分析 

分 类 号：R971.4[医药卫生—药品]