伴精神病性症状躁狂症的临床研究

The clinic study on mania with schizophrenic symptoms

目的 :探讨伴精神病性症状躁狂症的临床特点。方法 :对 5 4例不典型躁狂症及 12 4例典型(包括较典型 )躁狂症的一般人口学资料及首发年龄、家族史、临床症状、疗效、再入院诊断作统计分析 ,比较其异同。结果 :不典型躁狂症占 30 .3% ,以女性居多 ,发病年龄较晚 ,病前个性内向居多 ,心理素质较差。14.8%再入院改诊为精神分裂症。结论 :不典型躁狂症可能是躁狂症的一种亚型 ,对这类病人应加强随访、缩短随访期 ,系统地合并抗精神分裂症药物治疗。

Objective:To explore the clinic feature on mania with schizophrenic symptoms.Method:54 typical cases mania and 124 atypical (including subtypical) cases were made statistic analysis about normal population information,first suffering age,family,clinic symptom effect,and the diagnose of being hospitalized again.Result:30.3% of them were uncharacteristic mania.There was significance in the distribution of sex;most of them were female.and most of the personality before mania were introversion.They had poor mental diathesis.The diagnose that changed into schizophrenia were 14.8%. Conclusion:Atypical mania may be one of the mania's subgroups.We should strengthen follow-up,shorten the course of follow-up,and combine systematically the drug about schizophrenia. [