83例分裂样精神病病人的随访研究

A follow-up study of 83 cases of schizophreniform psychosis.

目的 探讨分裂样精神病的诊断及转归。方法 对 1990～ 1992年首次发病住本院治疗的分裂样精神病人进行了随访。结果 共随访了 83例 ,随访间隔首次住院时间为 7.14± 0 .6 8年。发现 36例改诊为精神分裂症(43 .4% )、4例改诊为情感性精神病 (4.8% )。结果提示难以对首次发病的分裂样精神病人进行转归预测 :精神分裂症病人的猜疑症状较情感性精神病人严重 ,分裂样病人的复发及再住院次数少于前两类病人 :首次发病的病期少于 1个月者较病期超过 1个月者起病快 ,再住院次数少、装相作态症状明显。结论 作者认为分裂样精神病作为一种提示良好预后的精神分裂症亚型更为恰当。

Objective To explore the diagnosis and outcome of schizophreniform psychosis(SFP).Methods We had followed up the patients who were admitted in our hospital for the first episode SFP during a period of two years(1990～1992).Results 83 patients with SFP had been followed up,the interval was 7.14±0.68 years.36 patients of them(43.3%)were diagnosed as schizophrenia,4 patients of them(4.8%)were diagnosed as affective disorder.The result indicated that we couldn't predicted the outcome of the patients with first episode SFP.The suspicion in SFP was more severe than that in affective disorder,the relapse and readmission frequency in SFP were fewer than those in schizophrenia and affective disorder.Compared with the patients whose first episode course were more than one month,the patients whose first episode course were fewer than one month showed rapid onset,few relapse frequency,obvious symptom of unusually action. Conclusion We suggested that SFP be regarded as a subtype schizophrenia which had a good prognosis.