儿童期与青少年期起病的精神分裂症临床比较  

Clinical Comparison of Childhood and Adolescent Onset Schizophrenia

作　　者：赵指亮[1] 李小青[1] 范大庆[1] 郭平[1] ZHAO Zhi-liang;LI Xiao-qing;FAN Da-qing;GUO Ping(Psychiatric Hospital of Zhumadian City,Zhumadian,Henan,463000,China)

机构地区：[1]河南省驻马店市精神病医院,河南驻马店463000

出　　处：《临床研究》2019年第1期26-27,共2页Clinical Research

摘　　要：目的研究儿童期与青少年期起病的精神分裂症临床特征以及不同。方法选择2013年8月～2015年8月本院收治的81例精神分裂症患者作为研究对象,其中儿童期起病的患者38例(儿童组),青少年期起病的患者43例(青少年组),采用本院自编的临床资料调查表对患者及其家属进行相关情况的调查,比较两组患者的临床特征以及心理适应情况。结果两组患者认知障碍、情感障碍、行为障碍出现的频度相差不大,儿童组语言障碍出现的频度显著高于青少年组,而青少年组患者思维障碍的出现频度显著高于儿童组,差异有统计学意义(P <0.05)。儿童组男性患者各项PAS指标均显著高于女性患者,差异有统计学意义(P <0.05)。青少年组男性患者在学业成绩上显著高于女性患者,差异有统计学意义(P <0.05)。结论发病年龄是决定思维障碍和语言障碍出现频率的重要因素,而性别是影响PAS的关键因素。Objective To study the clinical features and differences of schizophrenia in childhood and adolescents.Methods A total of 81 patients with schizophrenia admitted to our hospital from August 2013 to August 2015 were randomly divided into two groups:childhood onset (38) and adolescent onset(43).Group),the clinical data questionnaire compiled by our hospital was applied to investigate the patients and their families,and compare the clinical characteristics and psychological adaptation of the two groups.Results The frequency of cognitive impairment,affective disorder and behavioral disorder in the two groups was similar.The frequency of language disorder in the children group was significantly higher than that in the adolescent group,while the frequency of thinking disorder in the adolescent group was significantly higher than that in the children{P<0.05).The PAS indexes of male patients in the children group were significantly higher than those in the female patients(P<0.05).The male students in the adolescent group had significantly higher academic performance than the female patients{P<0.05).Conclusions Age of onset is an important factor in determining the frequency of thinking disorders and language disorders.Gender is a key factor affecting PAS.

关 键 词：精神病分裂症 起病期 临床特征 差异 

分 类 号：R749.3[医药卫生—神经病学与精神病学]