Ⅰ型、Ⅱ型精神分裂症流行病学对比分析

A Comparison Study of Epidemiology between Type-I and Type-II Schizophrenia in Shandong

目的 :比较Ⅰ型、Ⅱ型精神分裂症的患病率及其在不同人群中的分布特征 ,对其治疗、精神状态及社会功能进行评定。方法 :采用分层随机整群抽样方法在山东省统一抽样 ,采用国际统一的调查流程、筛查工具和诊断标准对调查人群进行线索和逐户调查。结果 :共调查 8476 7人 ,检出符合ICD -10诊断标准的精神分裂症患者 2 96例 ,其中 ,Ⅰ型精神分裂症 186例 ,患病率为 2 19‰ ,Ⅱ型精神分裂症 72例 ,患病率为 0 85‰ ,Ⅱ型精神分裂症的患病率明显低于Ⅰ型。两组治疗情况无差异 ,但Ⅱ型精神分裂症比Ⅰ型预后差 ,社会功能受损较严重。结论 :Ⅰ型精神分裂症的患病率高于Ⅱ型 ,两组患者的预后和社会功能缺陷具有明显差异。

Objective: To compare the prevalence rate, treatment and social disability between type-I and type II schizophrenia in Shandong province Method: 84,767 subjects in Shandong were collected by stratified and cluster random sampling They were investigated through the methods of clue and house to house survey Result: The survey uncovered 296 schizophrenics including type-I 186, and type-II 72 (the prevalence were 2 19‰ and 0 85‰ respectively) The treatment had no difference between the two types, but type-I had better outcome and lower social disability (by social disability screening schedule) Conclusion: The prevalence of type-I schizophrenia is higher than type-II in Shandong Type-I has better outcome