药物与分散内观认知疗法联合治疗男性偏执型精神分裂症康复期的临床效果

The Clinical Effect of Drug and Dispersion of Naikan Cognitive Therapy Combined Treatment of Male Schizophrenia Rehabilitation

目的药物与分散内观认知疗法联合治疗男性偏执型精神分裂症康复期的临床效果。方法从该院2016年2月—2017年2月收治的康复期男性偏执型精神分裂症中抽取120例进行分组研究,即甲组与乙组,每组60例。甲组单纯采取利培酮治疗,乙组在甲组治疗的同时配合分散内观认知疗法,对比两组男性患者的临床效果。结果①治疗前甲乙两组患者的ITAQ评分、BACS评分以及PANSS评分比较均差异无统计学意义(P>0.05),经过不同方法治疗后,乙组患者的上述评分均明显优于甲组,对比差异有统计学意义(PP<0.05)。②两组患者经过不同的方法治疗后,甲组复发率是25.0%,高于乙组的11.67%,比较差异有统计学意义(P<0.05)。结论在常规西药治疗的基础上,对康复期的男性偏执型精神分裂症患者采取分散内观认知疗法,可以有效提升患者的自知力,改善其认知功能以及阳性、阴性症状等,同时又能降低患者的复发率,该类联合疗法的临床效果显著,建议广泛推广。

Objective The clinical effect of drugs and dispersion of Naikan cognitive therapy combined treatment of male schizophrenia rehabilitation period.Methods The study group from our hospital in February 2016 to February 2017 from the rehabilitation period of male schizophrenia in selected 120 cases,namely,group A and group B,60 cases in each group.Group A took risperidone alone at the same time in group a group B treatment,treatment with the dispersion of Naikan cognitive therapy,the clinical effect of male patients of two groups were compared.Results ?Before treatment and two groups of patients with ITAQ score,BACS score and PANSS score were not statistically significant(P > 0.05),through different methods of treatment,the scores of B group were higher than those in group A,compared with statistical significance(P<0.05).?Two groups of patients after treatment with different methods,the recurrence rate was 25.0%,11.67%higher than that in group B,compared with statistical difference(P < 0.05).Conclusion The basis of conventional western medicine,decentralized Naikan cognitive therapy on the rehabilitation of the male patients with paranoid schizophrenia,can effectively improve the insight of patients,improve their cognitive function and positive,negative symptoms,and can reduce the recurrence rate of patients,the joint The clinical effect of the treatment is obvious,and it is recommended to be widely popularized