精神分裂患者院前冲动攻击行为对院内激越症状发生情况的影响

Influence of pre hospital impulsive aggression on the incidence of hospital agitation symptoms in schizophrenic patients

目的探讨精神分裂患者院前冲动共计行为对院内激越症状发生情况的影响。方法选取2015年3月~2016年6月在我院住院治疗的80例精神分裂患者,根据患者院前是否存在冲动攻击行为分为攻击行为组(n=40例)和无攻击行为组(n=40例),比较两组患者的一般临床资料及激越症状的发生率,并应用Pearson相关性分析方法分析修改版外显攻击行为量表与阳性和阴性症状量表的兴奋因子的相关性。结果两组患者在性别、年龄、身高体重指数及病程上相比,差异均无统计学意义(P>0.05);攻击行为组患者激越症状的发生率为34例(85.00%),无攻击行为组患者激越症状的发生率为19例(47.50%),两组相比,差异有统计学意义(P<0.05);精神分裂患者的M O A S各因子及总分与P A N S S-E C呈显著正相关(P<0.05)。结论精神分裂患者院前冲动攻击行为是导致患者院内出现激越症状的重要因素。

Objective To investigate the influence of p pre hospital impulsive aggression on the incidence of hospital agitation symptoms in schizophrenic patients. Methods From March 2015 to June 2016, 80 schizophrenia patients of hospitalized patients in our hospital, according to the existence of impulsive aggression, all patients were devided into aggressive behavior group（40 cases） and non aggressive group（40 cases）. The clinical data and incidence of agitation symptoms of the two groups were compared, and the correlation of modified overt aggression scale（MOAS） and the excitation factor of the positive and negative symptoms scale（PANSS-EC） were analyzed by Pearson correlation analysis. Results There was no significant difference in sex, age, BMI and course of disease between the two groups（P〈0.05）.The aggressive behavior group agitated symptoms occurred in 34 cases（85%）, non aggressive group agitation occurred in 19 cases（47.50%）, the difference of two groups was statistically significant（P〈0.05）. The MOAS scores and total scores of schizophrenic patients were significantly positively correlated with PANSS-EC（P〈0.05）. Conclusion Pre hospital impulsive aggression in schizophrenic patients is an important factor leading to hospital agitation symptoms in the hospital.