气功所致精神病与精神分裂症的临床特征对照研究

The comparison and analysis of manifestation of psychotic disorders with Qigong-related schizophreniform disorders and schizophrenia without Qigong practice:A controlled study.

目的 比较气功所致精神病与精神分裂症的临床特征。方法 比较分析按CCMD - 2诊断为气功所致精神病 84例、气功所致精神分裂样障碍 4 4例和精神分裂症 37例的临床特征。结果 气功所致精神病平均发病年龄大于精神分裂症。三组BPRS总分均值比较 ,说明初次精神病发作时症状严重程度没有差别。抗精神病药平均日剂量 ,气精组 <分裂样组 <分裂症组 ,而显效率分别为 88.1%、75 .0 %、32 .4 %。结论 气功所致的精神病初次发作严重程度与分裂症没有明显差异 ,且抗精神病药物能有效地控制其精神病发作 ;短期治疗效果比分裂症要好 ;发病有独特的文化基础与病因。如果属于气功诱发精神分裂样精神障碍 ,而短期内又不能确诊者 ,笔者倾向于诊断为精神分裂症 。

Objective To compare and analysis the clinical manifestation of Qigong-related psychotic disorders,Qigong-related schizophreniform disorders and schizophrenia without Qigong practice.Method 165 patients were split into three groups:(1)Qigong-related psychotic disorders,(2)Qigong-related schizophreniform disorders,(3)schizophrenia without Qigong practice,who were diagnosed with CCMD-2-R and were reviewed.Results Average age:Qigong-related psychotic disorders were (45.68±12.47) years old;Schizophreniform disorders were(38.70±12.40);Schizophrenia were(36.05±9.06),Schizophrenia were higher than patients with Qigong-related psychotic disorders but there is significant difference between the three groups( F =10.317, P <0.001).BPRS(total mean±SD):Qigong-related psychotic disorders were(37.74±9.48);Qigong-related schizophreniform disorders were(41.02±8.21);Schizophrenia were(40.70±5.91),there are no significant difference between the three groups.The average dosage of antipsychotic drugs were Qigong-related psychotic disorders.(298.99±165.39mg/d),schizophreniform disorders(407.27±176.57mg/d),and schizophrenia(446.05±206.39mg/d),but the significant effective rates were decreased between the three groups(88.1%,75.0%,32.4%).Conclusions Qigong-related psychotic disorders with Qigong culture formulation were different from schizophrenia.Qigong-related psychotic disorders is one of culture-bound-syndrome with Qigong practice.