探讨精神分裂症伴强迫症状与强迫症的临床对比

Explore the Clinical Comparison of Schizophrenia With Obsessivecompulsive Symptoms and Obsessive-Compulsive Disorder

目的对比分析强迫症和精神分裂症伴随强迫症患者的临床治疗情况。方法采用强迫症状评定量表(Y-B0CS)、Hamilton抑郁量表(HAMD)、Hamilton焦虑量表(HAMA)、阳性症状与阴性症状量表(PANSS),对56例强迫症患者和49例伴有强迫症状的精神分裂症患者进行评定,对比两类患者的临床治疗差异性和结果。结果两组的Y-BOCS、HAMD、HAMA等评分为强迫症组比较高(P<0.01);经治疗,两组较治疗前评分均降低(P<0.01),强迫症组改善情况比精神分裂症伴随强迫症组优秀(P<0.05)。结论强迫症组患者的抑郁、焦虑等情况较为明显,治疗反应比精神分裂症伴随强迫症患者优秀,可以采取联合用药的治疗方式。

Objective To compare the clinical treatment of obsessive compulsive disorder and schizophrenia with obsessive-compulsive disorder. Methods The obsessive-compulsive symptoms rating scale（Y-B0CS）, hamilton depression scale（HAMD）, hamilton anxiety scale（HAMA）, positive and negative symptoms scale（PANSS）, 56 cases of patients with obsessive-compulsive disorder and 49 patients with obsessive-compulsive symptoms of schizophrenic patients were assessed, comparing two patients treatment differences and results. Results The two groups of Y-BOCS, HAMD and HAMA score of OCD is relatively high（P〈0.01）, after treatment, the two group scores were significantly lower than before treatment（P〈0.01）, OCD group improved than schizophrenia with obsessive-compulsive disorder group to excellent（P〈0.05）. Conclusion Patients with obsessive-compulsive disorder in patients with depression, anxiety and other conditions are more obvious, treatment response than schizophrenia patients with obsessive-compulsive disorder is excellent, can take the treatment of combined medication.