认知知觉功能障碍训练在男性精神分裂症患者中的应用效果  

Application of Cognitive and Perceptual Dysfunction Training in Male Patients with Schizophrenia

作　　者：钟琼 李慧 钟长征 黄文君 胡建华 ZHONG Qiong;LI Hui;ZHONG Changzheng;HUANG Wenjun;HU Jianhua(Department of Geriatric Psychiatry,the Third People's Hospital of Ganzhou,Ganzhou 341000,China;不详)

机构地区：[1]赣州市第三人民医院老年精神科,江西赣州341000

出　　处：《中国医学创新》2024年第20期141-145,共5页Medical Innovation of China

摘　　要：目的:探讨在男性精神分裂症患者中采取认知知觉功能障碍训练联合脑电生物反馈治疗的作用。方法:采用随机数字表法将2021年9月—2023年9月赣州市第三人民医院收治的精神分裂症患者102例分为两组。对照组(n=51)行脑电生物反馈治疗,观察组(n=51)在脑电生物反馈治疗基础上采取认知知觉功能障碍训练,两组均持续干预1个月。比较两组精神症状、认知功能及社会功能。结果:干预1个月后观察组简明精神病评定量表(BPRS)中激活性、敌对性、缺乏活力、思维障碍、焦虑忧郁评分均较对照组低,差异均有统计学意义(P<0.05);干预1个月后观察组简易精神状态检查量表(MMSE)中定向力、记忆力、回忆能力、语言功能、计算力评分均较对照组高,差异均有统计学意义(P<0.05);干预1个月后观察组住院精神病人社会功能评定量表(SSPI)中动性和交往情况、日常生活能力、社会性活动能力评分均较对照组高,差异均有统计学意义(P<0.05)。结论:认知知觉功能障碍训练配合脑电生物反馈治疗可减轻男性精神分裂症患者精神症状,促进其认识功能提升,有效改善患者社会功能。Objective:To explore the effect of cognitive and perceptual dysfunction training combined with electroencephalographic biofeedback therapy in male patients with schizophrenia.Method:A total of 102 patients with schizophrenia admitted to the Third People's Hospital of Ganzhou from September 2021 to September 2023 were divided into two groups by random number table method.The control group(n=51)received electroencephalographic biofeedback therapy,and the observation group(n=51)received cognitive and perceptual dysfunction training on the basis of electroencephalographic biofeedback therapy.Both groups continued intervention for 1 month.Psychiatric symptoms,cognitive function and social function were compared between the two groups.Result:After 1 month of intervention,the scores of activation,hostility,lack of vitality,thought disorder,anxiety and melancholy in the brief psychiatric rating scale(BPRS)of observation group were lower than those of control group,the differences were statistically significant(P<0.05).After 1 month of intervention,the scores of orientation,ability of memory,ability of recall,language function and calculation in the mini mental status examination(MMSE)of observation group were higher than those of control group,the differences were statistically significant(P<0.05).After 1 month of intervention,the scores of mobility and communication,ability of daily living and ability of social activities in the scale of social function in psychosis inpatients(SSPI)of observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Cognitive and perceptual dysfunction training combined with electroencephalographic biofeedback therapy can reduce the psychiatric symptoms of male patients with schizophrenia,promote their cognitive function,and effectively improve their social function.

关 键 词：精神分裂症 认知知觉功能障碍训练 脑电生物反馈治疗 认知功能 社会功能 

分 类 号：R749.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]