【摘要】 目的:探讨妄想阵发的临床特征和转归。方法:选择1994年1月~2000年9月我院门诊及住院符合妄想阵发诊断标准、资料完整的58例患者,进行为期5~10年的随访研究,平均随访时间(9.2±3.6)年。结果:妄想阵发以被害妄想、关系妄想为主要表现,可伴有短暂的幻觉,情绪多变及行为紊乱,预后良好,病程小于2个月。追踪期间无复发者占41.4%,有复发者占58.6%,维持原诊断者占81.0%,修改诊断者占19.0%。结论:妄想阵发有其独特的临床相,临床表现及疾病转归与分裂样精神病及偏执性精神病均有显著的不同,系不同的精神疾病单元。更多还原

【Abstract】 Objective:To investigate the clinical features and variation with delusional episodes.Methods: The clinical datum of 58 patientes with delusional episodes diagnosed by CCMD-2-R.Between January 1994 and September 2000 were follow up and studied.the follow-up time(9.2±3.6) year.Results: The main symptoms of the delusional episodes are delusion of persecution and delusion of reference.Transient hallucination and changeable emotion and disorganized behavior were watched in the patients.The effect of the treatment in most of the patients were good and the duration was shorter than 2 months.41.4% patients were not recur.58.6% patients were more than once onset.81.0% patients maintain original diagnoses.19.0% patients revise diagnoses.Conclusions: The patients with delusional episodes had special features.The disorder is much different in symptoms,prognosis with schizoid psychosis and paranoid psychosis.They belong to different unit of disorder in classification.更多还原