中国传统功法易筋经对长期住院慢性精神分裂症患者精神症状及社会功能的改善作用  

Improvement of Chinese traditional martial arts Yijinjing on psychiatric symptoms and social function in long-term inpatients with chronic schizophrenia

作　　者：高慧[1] 陆如平 蒋琳娜 乔惠君 孙忠 李宁宁[2] 罗超 陈剑华[2] GAO Hui;LU Ruping;JIANG Linna;QIAO Huijun;SUN Zhong;LI Ningning;LUO Chao;CHEN Jianhua(Department of Psychiatry,Shanghai No.1 Mental Health Center of Civil Administration,Shanghai 201105,China;Shanghai Mental Health Center Affiliated to School of Medicine of Shanghai Jiao Tong University/Shanghai Institute of Psychosis of Traditional Chinese Medicine,Shanghai 200030,China)

机构地区：[1]上海市民政第一精神卫生中心精神科,上海市201105 [2]上海交通大学医学院附属精神卫生中心/上海市中医神志病研究所,上海市200030

出　　处：《广西医学》2023年第7期779-783,787,共6页Guangxi Medical Journal

基　　金：上海市中医药传承创新发展三年行动计划[ZY(2021-2023)-0207-01];上海市闵行区卫生健康委员会科研课题(2020MW55);上海市闵行区自然科学研究课题(2022MHZ059)。

摘　　要：目的探讨中国传统功法易筋经对长期住院慢性精神分裂症患者的精神症状及社会功能的改善作用。方法将40例长期住院的慢性精神分裂症男性患者随机分为对照组及观察组,各20例。两组均给予常规抗精神分裂症药物治疗及康复训练,观察组患者在此基础上接受中国传统功法易筋经训练。在干预前、干预后6周和干预后12周,采用阳性和阴性症状量表(PANSS)评估患者的精神症状,采用个人和社会功能量表(PSP)、护士用住院患者观察量表(NOSIE)评估患者的社会功能。结果干预后12周,观察组患者的PANSS阴性症状分量表得分和PANSS总分均低于干预前和干预后6周,PSP评分高于干预前和干预后6周(均P<0.05),但对照组各个时间点的上述评分差异均无统计学意义(均P>0.05)。观察组患者干预后12周的PANSS阴性症状分量表得分和PSP评分,以及干预后6周、12周的NOSIE总分均优于对照组(均P<0.05)。结论练习中国传统功法易筋经可改善长期住院的慢性精神分裂症患者的阴性症状和部分社会功能,有助于促进患者尽早康复及回归社会,值得在基层精神卫生机构中推广。Objective To explore the improvement of Chinese traditional martial arts Yijinjing on psychiatric symptoms and social function in long-term inpatients with chronic schizophrenia.Methods A total of 40 male long-term inpatients with chronic schizophrenia were randomly assigned to control group or observation group,with 20 cases in each group.Both groups were treated with routine anti-schizophrenia medicines and received rehabilitation training,based on which patients in the observation group received Chinese traditional martial arts Yijinjing for training.Patients′psychiatric symptoms were evaluated by using Positive and Negative Syndrome Scale(PANSS),and patients′social function was evaluated by employing Personal and Social Performance Scale(PSP)and Nurses′Observation Scale for Inpatient Evaluation(NOSIE)before intervention,and 6 and 12 weeks after intervention.Results After 12 weeks of intervention,patients in the observation group obtained lower PANSS negative symptom subscale score and PANSS total score as compared with before intervention and 6 weeks after intervention,and a higher PSP score as compared with before intervention and 6 weeks after intervention(all P<0.05);however,no statistically significant difference in the aforementioned scores in the control group was found between the various time points(all P>0.05).Patients in the observation group interpreted superior PANSS negative symptom subscale score and PSP score 12 weeks after intervention,and a superior NOSIE total score 6 and 12 weeks after intervention as compared with the control group(all P<0.05).Conclusion Chinese traditional martial arts exercises of Yijinjing can ameliorate the negative symptoms and partial social function in long-term inpatients with chronic schizophrenia,which is helpful to promote the early rehabilitation and return to society of patients,and is worthy of promotion in grass-roots mental health institutions.

关 键 词：慢性精神分裂症 易筋经 精神症状 阴性症状 社会功能 

分 类 号：R749[医药卫生—神经病学与精神病学]