脑反射治疗对慢性精神分裂症阴性症状的疗效观察

目的:探讨脑反射治疗对慢性精神分裂症阴性症状的疗效,寻找治疗慢性精神分裂症的新途径。方法:符合国际疾病分类第10版(ICD-10)残留型精神分裂症诊断标准的住院精神病患者200例,按单双号随机分为治疗组和对照组各100例,治疗组患者每天给予脑反射治疗1次,每次30min,20次为1个疗程;对照组患者只开展日常康复治疗。两组患者均按常规使用精神科药物治疗,患者治疗前及治疗后分别采用阴性症状评定量表(SANS)、阿森斯失眠量表(AIS)、幸福感指数量表进行评定。结果:经1个疗程的脑反射治疗前后比较,治疗组患者SANS评分中情感平淡、思维贫乏、意志缺乏、社交缺乏、注意障碍和总分明显下降(P<0.001);AIS评分显示,治疗后治疗组患者睡眠质量提高,高于对照组,尤其在入睡时间、夜间苏醒、早醒、总睡眠时间、白天情绪和总分差异显著(P<0.001);幸福感指数量表评分中情感指数、生活满意度、幸福指数分明显升高(P<0.001)。对照组患者治疗前后比较差异无统计学意义。结论:脑反射治疗能改善慢性精神分裂症患者的阴性症状,对患者的睡眠质量有改善,自我幸福感指数上升。

Observation of effectiveness of brain reflection treatment for negative symptoms of chronic schizophrenia

Objective：To explore the efficacy of brain reflection treatment for negative symptoms of chronic schizophrenia, and to find a new method to treat chronic schizophrenia. Methods：200 psychiatric inpatients, who met the diagnostic criteria of residual schizophrenia which was recognized by the tenth edition of International classification of diseases （ICD-10）, were randomly divided into treatment groups （100 cases） and control group （100 cases） according to odd numbers and even numbers. The patients in treat-ment group were offered by the brain reflection treatment once a day, each course contained 20 times and 30 minutes was for one time, while the patients in control group were only offered by daily rehabilitation treatment. The two groups both took psychotropic drugs as the routine treatment. The scale for the assessment of negative symptoms （SANS）, the Athens insomnia scale （AIS） and the well-be-ing index scale were used for assessment before and after the treatment. Results： After a course of the brain reflection treatment, the scores of apathy, poverty of thought, abulia, deficiency of social communication, disturbance of attention and the total score of SANS in treatment group declined apparently （P〈0. 001）. The score of AIS showed that the sleep quality of treatment group was raised obvious-ly after the treatment, which was higher than that of control group, especially in the aspect of time for falling asleep, waking up at night, early awakening, total sleep time, emotion in daytime and the total score （P〈0. 001）. The score of the emotion index, the life satisfaction and the well-being index increased in evidence （P〈0. 001）. There was no significant difference before and after the treat-ment in control group. Conclusions： Brain reflection treatment can improve the negative symptoms of the chronic schizophrenics, and it can also improve the sleep quality, thus making self happiness index increased.