文章摘要
汤庆平,金国林,张静,徐松泉,李宏.康复训练对精神分裂症的疗效和社会功能的影响[J].中国康复,2014,29(4):306-308
康复训练对精神分裂症的疗效和社会功能的影响
Curative effect of rehabilitation training and its influence of social function of patients with schizophrenia
  
DOI:
中文关键词: 精神分裂症  康复训练  社会功能
英文关键词: schizophrenia  rehabilitation training  social function
基金项目:浙江省医学会,临床科研资金项目,阿斯利康精神卫生科研专项(2011ZYC-A125)
作者单位
汤庆平 丽水市第二人民医院精神科浙江 丽水 323000 
金国林 丽水市第二人民医院精神科浙江 丽水 323000 
张静 丽水市第二人民医院精神科浙江 丽水 323000 
徐松泉 丽水市第二人民医院精神科浙江 丽水 323000 
李宏 丽水市第二人民医院精神科浙江 丽水 323000 
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中文摘要:
  目的:探讨综合性康复训练对精神分裂症患者的疗效和对社会功能的影响。方法:精神分裂症患者180例,分为A组、B组和C组。3组均按常规给予抗精神病药物治疗。A、B组在药物治疗基础上分别进行生活技能训练和劳动技能训练等综合性康复训练。治疗前后均采用阳性症状和阴性症状量表(PANSS),住院患者康复疗效量表(IPROS)联合进行临床疗效和社会功能评定。结果:治疗8周后,PANSS量表有效率A组82.63%、B组82.31%、C组78.93%; IPROS有效率A组89.78%、B组88.82%、C组82.33%。A、B组PANSS及IPROS有效率均更高于C组(P<0.05),A、B 2组间比较差异无统计学意义。结论:药物治疗合并康复训练对精神分裂症患者的疗效及社会功能改善有益。
英文摘要:
  Objective:To discuss the curative effects of comprehensive rehabilitation training and its influence on society function of patients with schizophrenia.Methods:One hundred and eighty patients with schizophrenia were divided into life skills training group (group A),labor skills training group (group B) and simple drug treatment group (group C).Three groups were routinely given antipsychotic drugs.Before and after treatment,the clinical efficacy and social function were assessed by positive and negative symptom scale (PANSS) and inpatient psychosis rehabilitation outcome scale (IPROS ).Results:After 8 weeks,efficiency rate of PANSS in group A was 82.63%,82.31% in group B,and 78.93% in group C.The efficiency rate of IPROS in group A was 89.78%,88.82% in group B,and 82.33% in group C.The efficiency rate of PANSS and IPROS in groups A and B was higher than that in group C (P<0.05).There was no significant difference between groups A and B.Conclusion: Drug therapy combined with rehabilitation training on the schizophrenia patients can improve the efficacy and social function.
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