男性流浪精神障碍患者的临床特点及治疗分析

A clinic study on the teature and treatment of male vagrant patients with mental disorders

目的：探讨男性流浪精神障碍患者的临床特点及治疗方法。方法：对比分析男性流浪与非流浪精神障碍患者的临床特点及疗效。随机选择我院2007年1月至2008年9月收治的男性流浪精神障碍患者共40例作为观察组，以同期在本院首次住院的40例男性非流浪精神障碍患者作为对照组，评价两组患者入院时的精神症状、合并躯体病情况、精神疾病诊断及治疗8周后的总体疗效。结果：两组在年龄、来源、婚姻状况、受教育程度、PANSS评分、诊断、合并躯体病、疗效等方面均有显著性差异。结论：男性流浪精神障碍患者精神症状重，问题行为突出，躯体状况差，多缺乏主诉。治疗强调以精神药物治疗、认知行为治疗及躯体病防治并举的综合治疗。

Objective：To explore the remedy for male vagrant inpatients with mental disorders through comparatively analyzing the difference of clinical characteristic between male vagrant and non -vagrant ones. Methods：40 male vagrant inpatients with mental disorders sampled randomly as observation group in our hospital between January 2007 - September 2008, and other 40 non - vagrant inpatients at the same period as control group were involved in the study. All the clinical data were investigated and statistically analyzed, including the general information, the mental status marked with PANSS, the number of inpatients combined by somatic diseases, psychotic diagnosis and the therapeutic effect after 8 - week treatment. Results ： There were significant differences between the two groups in age, marriage, origins, educational level, scores of PANSS, the number accompanied by physical diseases, and therapeutic effect. Conclusions： The vagrant inpatients have severes psychotic symptoms and worse matter behaviors. They are often accompanied by somatic diseases and short of utterance about their health. Consequently, powerful remedies such as psyehotropic drugs, cognitive behavior therapy, preventive and curable measures for body diseases are required synthetically for the male vagrant patients with mental disorders.