首发与复发儿童精神分裂症的对照分析

目的：探讨儿童首发与复发精神分裂症的临床特点及治疗选择。方法：在一般项目、核心症状、家族史、脑电图、电疗、药物治疗、疗效及电疗副作用等方面对照分析首发与复发儿童精神分裂症各28例。结果：两组在临床核心症状、脑电图检查等方面均无显著性差异，均有较高的阳性家族史发生率、脑电图异常率，均以思维和行为障碍为其核心症状，而较少情感和感知障碍，均有较高比率患者使用电休克治疗，药物治疗均以不典型抗精神病药物为主。结论：相对于复发组，儿童首发精神分裂症没有显著的临床特点。在作出肯定诊断之后应予以及、正规的治疗，这对于儿童首发精神分裂症具有重要的现实意义。

A Controlled Study of First-onset and Recrudescent Schizophrenia in Children

Objective：This study explored the differences of the clinical features and treatments between first-onset and recrudescent schizophrenia in children.Methods:We have reviewed the case recordings both of 28 first-onset schizophrenia in children and 28 recrudescent schizophrenia in children.The clinical features and treatments have been compared.Results:Both groups had two clinical core features,they are ① thought disorder;②behavior disorder.These two groups were mainly treated with atypical antipsychotics.Conclusions:There was no significant difference of clinical features between the first-onset schizophrenia in children and the recrudescent schizophrenia in children.It is important that the first-onset schizophrenia in children should be diagnosed accurately and then be treated immediately and correctly.