精神分裂症复发再入院204例临床分析

CLINICL ANALYSIS OF 204 RECURRENT SCHIZOPHRENIC PATIENTS

目的：总结精神分裂症复发再入院的特点。方法：回顾分析近年收治３０５例精神分裂症中复发再入院２０４例临床资料。结果：３年复发再入院率６６８９％；以停减药为主要诱发因素（占７１５％）；城乡之间无差异；以病程０５～５年的年龄组复发最多（５０４９％）；临床类型中偏执型和未定型复发差异明显（Ｐ＜００５）；复发再入院１次治愈达７５４８％。结论：为防止精神分裂症复发，包括即使已经复发而防止再复发，应积极系统地进行治疗。病程１～５年者为复发“危险期”。

OBJECTIVE:To analyze situation of recurrent schizophrenic patients.METHOD:Retrospective analysis clinice data of 204 recurrent schizophrenic patients.RESULTS:Relapse rate of 3 years after cure is 66 89%.The main inducers are quiting drug and decreasing dosage of durg(71 5%).There is no difference between the patients from city and the one from contryside.The period of disease is 5 months to 5 years in majority of the replase patients(50 49%).There was a significant difference in relapse rate between different clinice type of schizophrenia( P <0 05).The cure rate was 75 48% in the patients of only one time relapse.CONCLUSION:To prevent schizophrenia from relapse,it is necessory to conduct active and system treatment.The 1 to 5 year period of disease has the high risk of relapse.We suggest that treatment to the patients should last for 3 to 5 years.