易肇事肇祸精神分裂症疾病特征分析

The Disease Characteristics of Schizophrenia to Make Troubles and Accidents likely.

目的探讨易肇事肇祸精神分裂症(SP)疾病特征,为有效预防和控制SP患者肇事肇祸提供科学依据。方法随机抽取某院精神科通过易肇事肇祸精神病人救治机制(研究组)和普通住院(对照组)SP患者各100例资料,进行回顾性调查分析,比较两组病情资料的差别。结果研究组中偏执型、有合并症的比例和阳性和阴性综合症量表(PANSS)中阳性因子积分较对照组为高,但阴性因子积分较低、病程较短、差异有统计学意义(χ2/t=40.291,14.612,6.612,6.718,6.774;P均<0.001)。研究组言语性幻听、兴奋躁动、敌对、愚蠢行为,行为失控,焦虑,恐惧,易激惹,不合作,无自知力,被害、关系、影响妄想,被控制与被洞悉感,曲解误认和猜疑心出现比例较对照组高(χ2=5.922,16.333,11.562,9.267,9.715,5.122,10.824,16.333,15.781,17.394,18.012,15.923,13.271,4.500,7.715,10.641,9.872;P均<0.05),但回避社交和情感迟钝较对照组低(χ2=3.852,9.524;P<0.01)。结论偏执型SP患者易肇事肇祸;幻听、妄想等阳性症状可能是SP患者肇事肇祸动因。

Objective To explore the disease characteristics of patients with schizophrenia to make troubles and accidents likely,and provide scientific evidence for preventing and controlling these patients to make troubles and accidents effectively.Methods A total of 100 patients with schizophrenia to make troubles and accidents likely were randomly extracted and assigned to the study group from psychiatric department of a retrospectively.The difference between both groups was compared and analyzed.So as 100 ordinary patients to the control group.Their data on illness were surveyed.Results The proportion of patients to be paranoid schizophrenia,to have a complications and the positive score of PANSS in study group were significantly higher than those in control group but the negative score of PANSS and the course of disease were significantly lower（χ2/t=40.291,14.612,6.612,6.718,6.774;all P=0.000）.The proportion of patients to have verbal auditory ballucination in study group was significantly higher than that in control group（χ2=5.922,P=0.015）.So as the excited move restlessly,hostility and stupid,incontrollable behavior,anxiety,depression,autism,noncooperation,no insight,delusion of persecution,relation and influence,feeling of being controlled and being revealed,misinterpret mistake and suspicion（χ2=5.922,16.333,11.562,9.267,9.715,5.122,10.824,16.333,15.781,17.394,18.012,15.923,13.271,4.500,7.715,10.641,9.872;P0.05）.But the proportion of patients to have avoid social and emotional dull in the study group were significantly lower than those in control group（χ2=3.852,9.524;P0.01）.Conclusion Patients with paranoid schizophrenia maybe make troubles and accidents likely.The positive symptoms such as ballucination and delusion may be the cause of their making troubles and accidents.