内观疗法在住院精神分裂症患者中的应用效果

目的探索内观疗法在住院精神分裂症患者中的治疗流程和方法及效果。方法将120例住院精神分裂症患者随机分为对照组和研究组各60例，进行4周治疗，对照组采用奥氮平治疗，研究组在此基础上联合内观治疗。在治疗前后采用生活满意度量表（LSR）、社会支持评定量表（SSRS）、临床总体印象量表一疾病严重程度（CGI—SI）评定患者的康复情况。结果共有102名患者完成4周治疗，其中研究组48例，对照组54例。治疗前，两组LSR、SSRS、CGI—SI评分比较差异无统计学意义（P〉0．05）；治疗后，研究组LSR总增分为（2．46±0．43）分、SSRS（4．73±1．27）分，对照组LSR（0．24±0．17）分、SSRS（0．65±0．28）分，两组比较差异有统计学意义（t分别为3．45，3．02；P〈0．01）；研究组CGI—SI减分低于对照组，差异无统计学意义（P〉0．05）。结论抗精神病药物治疗联合内观疗法能更好地提高住院精神分裂症患者生活满意度，增加患者的社会支持度，适于在住院患者中开展。

Efficacy and clinical application of daily Naikan therapy in hospitalized schizophrenic patients

Objective To explore Naikan therapy of the processes and efficacy in the treatment of schizophrenic patients. Methods 120 schizophrenic patients were randomly divided into study group （ n = 60） and control group （n = 60）, and were treated with olanzapine combined with Naikan therapy and and olanzapine respectively for 4 weeks. Efficacy at baseline, end 4th week after the treatment were assessed respectively by Life Satisfaction Rating Soale （LSR） , Social Support Rating Scale （SSRS）, Clinical Global Impression-severty of illness （CGI-SI）. Results A total of 102 patients completed 4 weeks of treatment, 48 cases of the combined group and 54 cases of the control group. At the baseline, there were no significant difference in LSR, SSRS, CGI score between control group and olanzapine combined with Naikan therapy treatment group（P 〉0.05）. At the end 4th week of treatment, LSR increased score and SSRS increased score of study group were significantly higher than control group [ （ 2.46 ± 0.43 ） vs （0.24 ± 0.17 ）, （4.73 ± 1.27 ） vs （0.65 ± 0.28 ）, t = 3.45,3.02 ; respectively;P 〈 O. 01 ]. At the end of treatment, there were no significant difference in CGI-SI score beteen control group and study group （P 〉 0.05）. Conclusions The Naikan therapy combined with antipsychotics may have better improvement of the life satisfaction of schizophrenic patients, increasing the patient＇ s social support for hospitalized patients to carry out.