气功所致精神障碍43例的再诊断研究

Study on the Re-Diagnosis of Qigong Induced Mental Disorder

本文对43例既往诊断为民间健身术所致及气功所致精神障碍者进行了再诊断研究。有53.49％（23例）分别更正为精神分裂症、癔症、分裂样精神病及单次发作躁狂症等。在比较气功组与更正组时发现：两组在起病年龄、起病形式、病程、治疗显效时间以及临床症状中的意识朦胧、气感、发功动作、自伤（杀）、被害妄想和关系妄想的发生率上，均存在显著差异。作者支持保留气功所致精神障碍的独立疾病单元，但认为对缓慢起病、发病年龄轻、与练功关系不很密切、伴典型精神病性症状、病程较长以及缓解不良者，诊断时应慎重。文章还对误诊原因及诊断标准进行了分析和探讨。

43 patients original1y diagnosed as Qig(,ng induced rnentaI disorder were re - diagnosed. Among thetn 23 cases weTe corrected to the diagnoses as scllizophrenia. hysteria, schizophreniform ps3-chosis and mania etc. By comparing Qigong group with corrected group, the Iesu1t showed that the significant difference between them were existerlt in age and form of onset, course, recovering time andsome clinica1 symptoms occurance such as twi1lght, feeling of Qi, action of Fagong, self - hurt or suicide, de1usion of persecution and reference etc. The authors supportd Qigong induced mental disorder existing as an independent disease unit, meanwhile its diagnosing should be cautiously made in patients with chronic onset, suffering at younger age and unclosely related with Qigong exercise - having longer desease course, typical psychotic syrnptoms and unsatisfactory remission.