分裂样精神病106例随访研究

目的探讨分裂样精神病诊断及转归的影响因素。方法对１０６例首次住院诊断为分裂样精神病的患者进行１～６年随访，将资料作分析研究。结果１０６例患者中维持分裂样精神病诊断３０例（２８３％），改诊为精神分裂症７２例（６８％），情感性精神病４例（３７％）。分裂样精神病改诊为精神分裂症或情感性精神病与其病前性格、社会功能恢复状况、思维形式及情感障碍等因素有关，而与家族遗传史、起病形式以及精神症状中幻觉、妄想、行为障碍关系不大，治疗效果两者差异亦较大。结论分裂样精神病作为过渡诊断仍有保留之必要

The follow-up study of schizophreniform psychosis.

Objective To investigate the diagnosis of schizophreniform psychosis and its influences factors. Methods A follow-up study on 106 cases of schizophreniform psychosis (SEP) which was diagnosed at the first time of in patient was carried out for 1-6 years. Results Among them 30 cases(28.3%) were still diagnosed as SFP, 72 cases (68%) diagnosed as schizophrenia, 4 cases (3.7%) as emontion psychosis was related to his character before illness, the recovery condition of social function, formal category, emontion disorder ect, but have less relation with the history of family heredity, onset of disease, halllucination, delusion, action disorder. Both have significant different remedial results. Conclusions It is necessary to reserve the schizophreniform psychosis as the transition diagnosis.