【摘要】 目的探讨住院精神分裂症患者疗效的影响因素。方法将203例精神分裂症患者按临床疗效分组,临床痊愈和显著好转者132例为显效组,临床好转和无效者71例为对照组,采用自编《住院精神分裂症患者一般情况调查表》进行回顾性统计、分析。结果住院患者中女性、低技术工人、阴性症状突出者、病前无诱因的疗效较差(P<0.05)。其疗效与住院天数、总住院费用成正相关,与日均费用成负相关(P<0.01)。结论精神分裂症药物治疗应充分、足程,临床应重视对女性、低技术工人的治疗观察,并加强精神疾病知识健康教育,同时健全社会保障体系以提高住院精神分裂症患者的疗效。更多还原

【Abstract】 Objective To explore the curative influencing factors of schizophrenia inpatients. Methods Two hundred and three schizophrenia inpatients were divided into 2 groups according to they clinical therapeutic effectiveness,132 patients who obtained clinical cure and remarkable improvements were defined as the effective group,71 patients who had little or no improvement were defined as the control group.Using self-edit "general condition questionnaire of schizophrenia inpatients", we conducted retrospective statistical analysis. Results The females,the low-skill workers,the negative symptoms as the essential presenting features,and patients lack of prodromal symptoms and obviously psychopathogenic factors had relatively lower effectiveness(P<0.05).The patient therapeutic effectiveness showed a positive correlation with the inpatient hospital stay and the general medical fees,and had a negative correlation with the average daily cost(P<0.01). Conclusions The medication of schizophrenia should be adequate and sufficient treatment course.In clinical practice,we should emphasize the knowledge dissemination of mental disease for the females and the low-skill workers,and to establish society insurance system for ensuring the schizophrenia patients’ adequate therapy.更多还原