伴与不伴忧郁精神分裂症患者近期康复对照研究

Contrastive study between concomitant and unconcomitant melancholic schizophrenic patients about near future rehabilitation

目的：研究精神分裂症患者伴忧郁患者与不伴忧郁患者康复状况。方法：把病员随机分成研究组和对照组，完整收集病史并进行８年随访，作近期康复对照研究。结果：发现具有明显忧郁症状的精神分裂症患者疗效和社会功能较好。结论：把预后良好归于忧郁出现在精神病早期是不充分的，从复发继发忧郁看，它可看作是忧郁症的一种轻度表现形式，病情不稳自杀危机存在和社会功能恢复不能持久，如无正确诱导适时合理治疗，预后并不乐观，今后近期防治应城乡并重。

Objective:To study the rehibilitation conditions of concomitant melancholiac schizophreniac and unconcomitant melancholiac schizophreniac.Methods:At Random devide patients into study group and contrd group.completely collect medical history and make follow-up survey for 8 years.Conduct control study of short-term rehibilitation.Results:Concomitant melancholiac schizophreniac symptom are clearer,the therapeutic effect and social function are better.Conclusion:Favourable prognosis resulting from melancholia of the earlier schizophrenosis is not sufficient.Seen from recurring secondary melancholia,it can be acted as melancholiac mild form of expression.Instability of patient’s condition,suicidal attempt and non-permanent recover of social function,if they cannot be given correct induction and right treatment,their prognosis are not favourable.In the future prevention and cure should be laid equal stress on the cities and the countryside,specially in the developing cities and less developed areas.