精神发育迟滞并发精神分裂症与精神分裂症症状特点比较

Comparison of the clinical features in mental retardation complicated with schizophrenia and schizophrenia.

目的 探讨精神发育迟滞(MR)并发精神分裂症与精神分裂症症状特点比较。方法 100例MR并发精神分裂症患者按智商(IQ)≥50和IQ≤49分成两组进行临床特征分析,并与100例智力正常的精神分裂症患者比较。结果 MR并发精神分裂症患者IQ≥50和IQ≤49两组间临床症状差异无显著性(P>0.05);MR并发精神分裂症组与正常智力的精神分裂症组的一级症状、逻辑推理障碍、妄想、情感平淡、思维贫乏、愚蠢行为的差异有非常显著性(P<0.01)。结论 MR并发精神分裂症患者一级症状明显减少,有助于鉴别诊断。

Objective To compare the clinical features in the mental retardation (MR) complicated with schizophrenia and schizophrenia. Methods 100 MR patients complicated with schizophrenia were divided into two groups, according to their IQ≥50 and IQ≤49, and compared with 100 patients of schizophrenia without MR. Results No significant difference was found in the clinical symptoms between the two group of MR(P>0. 05) ,but there was a significant difference in the first rank symptoms, logical reasoning disorder, delusion, flattening of affect, poorness of thought between the schizophrenic patients with or without MR(P <0. 01). Conclusion The first rank symptoms in the schizophrenic patients with MR were significant diminished. This feature is helpful in clinical differentiation.