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儿童少年精神分裂症的临床分析

The study of clinical features of the children and adolescents with schizophrenia

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【作者】 张志群郭兰婷

【Author】 ZHANG Zhiqun,GUO Lanting Institute of Mental Health, First Affiliated Hospital, West China University of Medical Sciences, Chengdu 610041,China

【机构】 华西医科大学附属第一医院心理卫生研究所

【摘要】 目的 了解儿童少年精神分裂症的临床特点。方法 对 1995年 6月至 2 0 0 0年 6月在华西医科大学附属第一医院精神科住院的 5 6例精神分裂症患儿 (年龄≤ 15岁 )的病案资料进行分析 ,5 6例均符合中国精神疾病分类方案与诊断标准第 2版修订本中的诊断标准。结果 发病例数有随年龄增大而增多的趋势。在 5 6例中 ,6 3% (35例 )为慢性起病 ,79% (44例 )在疾病早期存在非特征性症状 ;86 % (48例 )存在幻觉 ,79% (44例 )存在妄想 ,其中年龄小于 12岁的患儿妄想症状少见。 30 %(17例 )患儿接受电休克治疗 ,副反应少见。结论 儿童少年精神分裂症的发病例数随年龄增大而增多 ,疾病早期存在非特征性症状 ,年龄较小的患儿妄想较少见

【Abstract】 Objective To study the clinical features of children and adolescents with schizophrenia Method The data of 56 schizophrenia patients less than 16 years old who hospitalized in the Department of Psychiatry in the First Affiliated Hospital, West China University of Medical Sciences from June 1995 to June 2000 were collected and analyzed All the subjects were diagnosed according to CCMD Ⅱ R criteria for schizophrenia A self compiled checklist was used to assess the patients′ clinical features Results (1)There was a tendency that the incidence of schizophrenia might increase with aging in children and adolescents (2)63% of the patients were onset in slow way and showed early non specific symptoms (3)Hallucinations were seen in 86% of the patients, and delusions in 79% of them Less delusions were seen in the patients younger than 12 years old (4)30% of the 56 patients were treated with electric shock therapy and only a few patients had side effects Conclusion The incidence of schizophrenia in children and adolescents may increase with aging Non specific symptoms can be seen in the early course Delusions are less seen in the younger patients

  • 【文献出处】 中华精神科杂志 ,Chinese Journal of Psychiatry , 编辑部邮箱 ,2001年02期
  • 【分类号】R749.3
  • 【被引频次】28
  • 【下载频次】181
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