急性而短暂的精神病性障碍预后效果观察

Observation on prognosis effect of acute and transient psychotic disorders

目的:观察急性而短暂的精神病性障碍预后效果,研究其相关因素。方法:选择急性短暂性精神病性障碍156例临床资料进行回顾性分析。结果:156例患者中115例更改诊断;精神分裂组患者入院前病程时间(9.9±6.1)d明显长于ATPD组(7.8±6.1)d,P<0.05,两组患者入院前内向型人格比率分别为68.6%及63.4%;精神分裂组患者中检测过MMPI者精神病态量表分(59.9±11.1)明显高于ATPD组(51.9±10.9),P<0.01。结论:急性而短暂的精神性病障碍预后多为精神分裂症,其中精神分裂症性精神障碍阳性家族谱系疾病者、入院前病程较长以及MMPI精神病态量分中分数较高者,预后多为精神分裂症。

Objective：To investigate the prognosis of acute and transient psychotic disorders and study the relevant factors. Methods： The clinical data of 156 cases with acute transient psychotic disorders were retrospectively analyzed.Results：115 cases among 156 patients changed the diagnosis; schizophrenic patients before admission duration time（9.9±6.1） d was significantly longer than that of ATPD group（7.8±6.1） d,P〈0.05,two groups of patients before admission introverted personality rates were 68.6% and 63.4%;the detection of schizophrenia patients who had MMPI psychopathic scale score（59.9±11.1） was significantly higher than that of ATPD group（51.9±10.9）, P〈0.01.Conclusion：Acute and transient mental disorders STD prognosis are mostly schizophrenia, schizophrenic disorder in which positive family tree diseases,as well as a longer duration before admission MMPI psychopathic points in the score the higher the amount, and the prognosis is the schizophrenia.