强迫症的鉴别诊断模式

Differential Diagnosis Pattern of Obsession

目的:探讨强迫症鉴别诊断的规范化方法,提高临床诊断准确性。方法:采用必备组合症状、病因、内在关系、严重程度、病程、排除症状和非器质性病变基础等7个方面作为强迫症鉴别诊断模式的要素,用神经症二重辨证施治进行临床验证。结果:强迫症与伴发强迫症症状的其他疾病相比,具有明显的差异。其中必备组合症状、病因和内在关系,是鉴别诊断的核心;排除症状、非器质性病变基础,也很重要,但在某些特定情况下是否成为鉴别诊断的依据,要视情况而定;严重程度和病程有一定的意义。结论:强迫症的鉴别诊断模式具备了更加缜密规范准确的优点。

Objective：To investigate the standardized methods of the obsessive differential diagnosis to improve the accuracy of diagnosis.Methods：Adopting the combination of symptoms,etiology,internal relations,severity,duration,eliminating symptoms and non organic lesions as the elements of the differential diagnosis model of obsession,which were tested by neurosis double syndrome differenciation and treatment for clinical verification.Results：There was significant difference between obsession and diseases associated with obsession-like syndrome.The core of differential diagnosis was the necessary combination of symptoms,etiology,internal relations,while the eliminating symptoms and non-basic organic lesion were also important,which could be adopted as the diagnostic criterion by specific situation.Severity and duration had certain significance.Conclusion：The differential diagnosis model of obsession has the advantages of precision,standardization and accuracy.