【摘要】 目的对比分析精神分裂症与双相情感障碍认知功能方面的差异。方法随机抽选于2013年12月—2017年6月来该院进行治疗的的精神分裂症及双相情感障碍患者共92例,根据中国的诊断标准将患者分为精神分裂症组及双相情感障碍组。通过数字符号、数字广度、视觉记忆、迷宫、视觉再生、言语流畅性、短时语言记忆、持续操作、情绪管理等相关测验,以评估两组患者的联想、记忆、知觉功能等认知功能方面的差。结果对两组患者进行上述测试后,发现双相情感障碍组患者数字符号、数字广度、视觉记忆、视觉再生评分分别为(34.22±9.46)分、(13.11±2.01)分、(13.04±4.17)分、(15.94±3.15)分方面与精神分裂症组相比较,差异无统计学意义(t=1.036、2.042、1.011、1.368,P>0.05)。而迷宫、言语流畅性、短时语言记忆、操作总分数和情绪管理评分分别为(5.14±3.77)分、(26.82±5.58)分、(24.73±3.08)分、(5.32±0.48)分、(9.57±8.18)分明显高于精神分裂症组,两组比较差异有统计学意义(t=4.624、10.627、8.068、6.364、5.612,P<0.05)。结论精神分裂症患者与双相情感障碍患者的认知功能均有不同程度的损害,精神分裂症患者在短时语言记忆力、执行功能以及自我情绪管理方面与双相情感障碍患者相比,表现更为严重,对正确鉴别这两种精神障碍性疾病有重要的参考价值以及预后方案的制定具有指导作用。更多还原

【Abstract】 Objective To compare and analyze the differences in cognitive function between schizophrenia and bipolar disorder. Methods A total of 92 patients with schizophrenia and bipolar disorder who were treated in our hospital from December 2013 to June 2017 were randomly selected. The patients were divided into schizophrenia group and biphasic affective disorder group according to Chinese diagnostic criteria. Through the digital symbols, digital breadth, visual memory,maze, visual regeneration, speech fluency, short-term language memory, continuous operation, emotional management and other related tests to assess the differences of the cognitive function of the two groups of patients such as association, memory, perception function. Results After the above tests were performed on the two groups of patients, the digital symbol, digital breadth, visual memory and visual regeneration scores of the patients in the bipolar disorder group were(34.22±9.46),(13.11±2.01)points, and(13.04±4.17)points,(15.94±3.15)points respectively. There were no significant differences in the scores of compared with the schizophrenia group(t=1.036, 2.042, 1.011, 1.368, P>0.05). The maze, verbal fluency, shortterm language memory, total operation score and emotional management score were(5.14±3.77)points,(26.82±5.58)points,(24.73±3.08)points, and(5.32±0.48)points,(9.57±8.18)points was significantly higher than the schizophrenia group, and the difference was statistically significant(t=4.624, 10.627, 8.068, 6.364, 5.612, P<0.05). Conclusion The cognitive function of patients with schizophrenia and bipolar disorder has different degrees of damage. Patients with schizophrenia have more performance in short-term language memory, executive function and self-emotion management than patients with bipolar disorder. To be serious, it has important reference value for correct identification of these two mental disorders and has a guiding role in the formulation of prognosis.更多还原