情感性精神障碍复发的危险因素分析

Risk factors analysis about recurrence in patients with affective disorders

目的 :探讨情感性精神障碍复发的危险因素。方法 :对 1995年 3月至 1996年 3月首次发病住院治愈的情感性精神障碍患者 5年内复发情况进行单因素及多因素分析。结果 :复发率为 6 0 96 %。多因素分析主要危险因素为初发病年龄、维持服药时间、精神刺激和家族史 ,单因素分析危险因素还有社会经济地位、文化程度、性格、发病类型、临床表现等。结论 :服药维持治疗是减少或预防复发的关键 ,设法避免不良刺激对减少或预防复发具有重要作用。

Objective:To study the risk factors of recurrence in patients with affective disorders Methods:The risk factors of recurrence within 5 years were analysed with chi square test and logistic regression in patients who had been cured when they were first suffered from affective disorders in our hospital from March 1995 to March 1996 Results:Prevalence of recurrence was 60 96% The main risk factors affecting recurrence in patients with affective disorders resulted from logistic regression were age of first suffering from affective disorders,continuous treatment by taking drugs,bad stimulation,family history The other risk factors resulted from chi square test were social economic status,education,character,symptoms,et al Conclusions:Taking drugs continuously is crucial for and avoiding bad stimulation have important effect on reducing and preventing from recurrence of affective disorders