气功相关精神障碍患者82例随访对照分析

目的：对气功所致精神障碍与气功相关的精神分裂症的临床特点差异进行探讨。方法：收集在1990年至2000年间连续入院患者中与气功相关的精神病性障碍患者82例，其中住院时诊断为气功所致精神障碍46例，精神分裂症36例。收集两组病例的人口统计学、临床表现等资料并作5年以上随访。结果：气功所致精神障碍（气功组）与精神分裂症（分裂症组）比较，在性别、婚姻、年龄、接受教育年限、起病年龄及病程方面差异均有显著性（P均〈0．001）。获得68例5年以上的随访资料，其中气功组38例，分裂症组30例。至随访结束，气功组中84％（32例）、分裂症组中57％（17例）维持原诊断，二者差异有显著性（P〈0．001）。气功组的精神障碍缓解程度达89％（34例），而分裂症组的缓解程度仅33％（10例），差异有显著性（P〈0．001）。气功组的社会功能也明显优于分裂症组（P〈0．01）。结论：气功所致精神障碍与气功相关的精神分裂症是两种不同类型的疾病，根据临床特点，二者可以鉴别。

A follow-up 130mparalive study on 82 cases with mental disorders related to Qigong

Objective:To assess the difference between mental disorder due to Qigong and Qigong-related schizophrenia.Method:82 cases with mental disease related to Qigong were collected from patients hospitalized in series from 1990 to 2000,of which 46 and 36 cases were diagnosed as mental disorder due to Qigong and schizophrenia respectively.The demographic data and clinical symptoms were investigated during more than 5 years follow-ups.Results:There were significant differences between two groups in gender,marriage,age,education,onset age and course of illness(P<0.001).68 cases completed the follow-up,of which 38 cases from mental disorder due to qigong group and 30 cases from schizophrenia group.There were 84% cases of mental disorder due to qigong group(32 cases)and 57% cases of schizophrenia group(17 cases)maintained their original diagnosis at the end of follow-up,which led a significant difference between the two groups(P<0.001).89% cases(34 cases)in mental disorder due to qigong group and 33% cases(10 cases)in schizophrenia group had a remission,which showed a marked difference between the two groups(P<0.001).The social functions of cases in mental disorder due to qigong group were better than that in schizophrenia group(P<0.01).Conclusion:Mental disorders due to qigong and qigong-related schizophrenia are two different types of mental disorders,which can be differentiated by their clinical characters.