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精神分裂症患者伴发抑郁症状的临床分析

A clinical analysis of the schizophrenia with depressive symptoms

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目的:了解伴抑郁症状的精神分裂症的临床特征。方法:对93例伴抑郁症状的精神分裂症、127例不伴抑郁症状的精神分裂症及69例抑郁症患者进行临床对照观察。结果:伴抑郁症状的精神分裂症具有每次发病时间长、易复发的特点,临床表现以罪恶妄想、疑病妄想、虚无妄想、贫穷妄想多见,抑郁症状以无助、无望感及精神运动性迟滞突出;加用与不加用抗抑郁剂比较,在治疗起效时间、症状改善时间方面的差异均有非常显著性。结论:对伴抑郁症状的精神分裂症患者给予适当的社会支持、治疗上加用抗抑郁剂是缩短疗程的有效途径之一。
Objective:In order to study the clinical features of the schizophrenia with depressive symptoms. Methods:A comparative study in three groups-93 schizophrenia patients with depressive symptoms, 127 schizophrenics without depressive symptoms and 69 patients of depressive disorder was made. Results:Recurrent times of patients of schizophrenia with depression were much more than those without depression, and their course of il ness is the longest in three groups of patients. Schizophrenic patients with depression have more common manifestations of hopelessness, helplessness and psychomotor inhibition than depression patient, and have more outstanding delusion of sin, hypochondriac delusion, delusion of negation, delusion of poverty than schizophrenic patients without depression. In the schizophrenic patients with depression treated combined TCA with neuroleptics, the therapeutic efficacy appeared early and was bet er than those treated with neuroleptics only. Conclusion:For schizophrenia patients with depressive symptoms, combined antidepressants with neuroleptics in their treatment and some kinds of social support to them are necessary to shorten their therapeutic course.

SchizophreniaDepressiveCinical studies

李超、杨娟、丁冬梅、贾雁

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云南省曲靖市第三人民医院 655000

精神分裂症 抑郁症状 临床分析

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(5)
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