系统康复训练对稳定期精神分裂症患者认知功能的影响

Effects of systematic rehabilitation training on cognitive function of patients with chronic schizophrenia at stationary phase

目的:探讨实施系统康复训练对入住"康复者之家"的稳定期精神分裂症患者认知功能的影响。方法:选取住院治疗的病情稳定的单一维持期用药精神分裂症患者89例,随机分为对照组42例和训练组47例。对照组采用常规药物住院维持治疗;训练组施以系统康复训练。6个月后采用计算机版威斯康星卡片分类测验评估训练效果。结果:训练组6个月后威斯康星卡片分类测验完成分类数、总错误数、持续错误数均较对照组显著改善(P<0.01)。结论:系统康复训练可改善稳定期精神分裂症患者认知功能。

Objective： To explore the effect of systematic rehabilitation training on the cognitive function of patients with chronic schizophrenia in the rehabilitation home. Methods： Eighty-nine patients who were admitted to the hospital in June 2013 and at the stationary phase were random divided into control group and integrated treatment group. The 42 patients in control group received atypical antipsychotics only and the 47 patients in the integrated treatment group received atypical antipsychotics combined with systematic rehabilitation training. Wisconsion Card Sorting Test was used to evaluate the cognitive function of the patients 6 months later. Results： After 6 months,the Wisconsion Card Sorting Test results,the total mistake-making number and the continuing mistakemaking number improved significantly in the integrated treatment group compared to those of the control group（ P〈0. 01）.Conclusions： The systematic rehabilitation training may improve the cognitive function of the schizophrenia patients.