马昌明 肖卫兵

摘 要 目的：分析將个体化康复治疗应用于慢性精神分裂症患者治疗的近期疗效。方法：选择我院到2015年7月，病情稳定，患病两年以上的男性精神分裂症患者40例，分为对照组（20例）和试验组（20例）。对照组患者的年龄为26～68岁，平均年龄（42.5±7.5）岁；试验组患者的年龄为27～62岁，平均年龄为（43.8±6.9）岁。对照组患者在治疗时采用常规治疗方式，其中包括心理辅导，药物治疗等；试验组患者在常规治疗的基础上加入个体化康复治疗；比较两组患者的精神病量表（BPRS）评分、社会功能恢复以及患者的治疗满意度。结果：对照组患者在治疗完成后其BPRS评分高于实验组，而试验组患者的社会功能恢复明显优于对照组，其差异具有统计学意义（P<0.05）；同时，试验组患者的满意度平均分高于对照组，差异具有统计学意义，（P<0.05）。结论：采用个体化康复治疗能够有效改善慢性精神分裂症患者的社会功能恢复状况，提高患者的治疗满意度。

关键词 慢性精神分裂症；个体化康复治疗；近期疗效

中图分类号：R749.3 文献标志码：A 文章编号：1006-1533（2018）06-0057-03

Analysis of the short-term treatment effect of individualized rehabilitation therapy for male chronic schizophrenia

MA Changming， XIAO Weibing

（Department of Psychiatry of Corelle Hospital， Zhangshu 331211， Jiangxi Province， China）

ABSTRACT Objective： To analyze the short-term efficacy of individualized rehabilitation therapy in the treatment of patients with chronic schizophrenia. Methods： By the end of July 2015， 40 cases of male schizophrenic patients with stable condition for more than two years of illness in the hospital were selected and divided into a control group（20cases） and an experimental group（20cases）. The age of the control group was 26～68 years old and the average age was （42.5±7.5） years. The age of the patients in the experimental group was 27～62 years old and the average age was （43.8±6.9） years. The control group was treated with conventional therapy， including psychological counseling， drug therapy and so on； the patients in the experimental group were treated with individualized rehabilitation therapy on the basis of routine treatment. The score of brief psychiatric rating scale（BPRS）， social function recovery and patients treatment satisfaction were compared between the two groups. Results： The BPRS score in the control group was higher than that in the experimental group after the treatment， but the social function recovery of the patients in the experimental group was significantly better than that in the control group， and the difference was statistically significant（P<0.05）. At the same time， the satisfaction average score of the patients in the experimental group was higher than that in the control group， and the difference was statistically significant（P<0.05）. Conclusion： The individualized rehabilitation therapy can effectively improve the social function recovery of the patients with chronic schizophrenia and improve the satisfaction of the patients.

KEY WORDS chronic schizophrenia； individualized rehabilitation therapy； short-term efficacy

精神分裂症是一种临床上常见的精神疾病，其病期较长，难以完全治愈，有较高的复发性和反复性，患者往往预后较差[1]。本病主要表现为患者的基本思考结构发生散漫或分裂，呈现思维以及精神活动与现实状况差异较大或完全异常[2-3]。但精神分裂症发病因素目前还尚未完全清楚；多数研究认为精神分裂症的发病机理主要为多基因遗传学说[4]。病症的主要发病原因是致病基因与部分环境因素的共同影响下形成。部分研究还发现精神分裂症患者往往伴有一定的内分泌失调现象，所以认为精神分裂症与患者内分泌状态有一定的关系[5-6]。……