社区防治综合措施对首发精神分裂症认知功能的影响

Influence of first-episode schizophrenia cognitive function by prevention and treatment of community comprehensive measures

目的临床实验研究分析社区防治综合措施对首发精神分裂症认知功能的影响。方法随机抽取2007～2011年4年中患有精神分裂症并治愈出院的患者60例,其中,女29例,男31例,年龄为25～55岁,平均43.7岁。60例患者均为首发性精神分裂症,将其按照1:1的分配方式,分为对照组与治疗组。对照组常规治疗,治疗组进行社区防治综合治疗,分别于患者出院后的半年与1年时对其进行复发患者对比分析。结果两组患者出院半年之后,对照组复发5例,复发率为16.7%,治疗组复发2例,复发率为6.7%。两组患者出院1年之后,对照组患者复发9例,复发率为30.0%,治疗组患者复发2例,复发率为6.7%。对照组的复发率明显高于治疗组。结论社区综合防治措施可以巩固患者于医院时的治疗效果,提高患者的认知功能,稳定患者病情,是提高患者心理、生理以及社会健康水平的有效措施,对于首发精神分裂症患者的预防复发具有重要的临床意义。

Objective To analyze the influence of first-episode schizophrenia （FES） cognitive function through prevention and treatment of community comprehensive measures in clinical experimental research.Methods Sixty patients suffering from FES discharged from our hospital after cure were randomly selected from 2007 to 2011.Among them,the number of female patients was 29 cases,and 31 cases were male.Their ages were between 25 to 55 years old,and at the average of 43.7 years old.They were evenly divided into control group and treatment group.In control group,patients were given regular treatment.In treatment group,prevention and treatment of community comprehensive measures was provided.Participant recurrent conditions were comparatively analyzed in their half a year and one year after discharge from the hospital.Results After half a year of discharge,5 patients recurred in control group accounting for 16.7%,while in treatment group there were only two recurred cases.Discharged from the hospital after one year,the number of recurrent patients in control group was 9 accounting for 30.0% and 2 cases in treatment group accounting for 6.7%.In comparison,the recurrence rate in control group was greatly higher than that of treatment group.Conclusion Prevention and treatment of community comprehensive measures,as an effective measure of psychology,pathology,and social health level,can strengthen therapeutic effects in hospital,improve patient cognitive function,and stabilize patient conditions,which has an important clinical significance in prevention of PES recurrence.