CAJ | 학술논문

目的：比较Ⅰ型、Ⅱ型精神分裂症的患病率及其在不同人群中的分布特征，对其治疗、精神状态及社会功能进行评定。方法：采用分层随机整群抽样方法在山东省统一抽样，采用国际统一的调查流程、筛查工具和诊断标准对调查人群进行线索和逐户调查。结果：共调查84767人，检出符合ICD-10诊断标准的精神分裂症患者296例，其中，Ⅰ型精神分裂症186例，患病率为2.19‰，Ⅱ型精神分裂症72例，患病率为0.85‰，Ⅱ型精神分裂症的患病率明显低于Ⅰ型。两组治疗情况无差异，但Ⅱ型精神分裂症比Ⅰ型预后差，社会功能受损较严重。结论：Ⅰ型精神分裂症的患病率高于Ⅱ型，两组患者的预后和社会功能缺陷具有明显差异。
목적：비교Ⅰ형、Ⅱ형정신분렬증적환병솔급기재불동인군중적분포특정，대기치료、정신상태급사회공능진행평정。방법：채용분층수궤정군추양방법재산동성통일추양，채용국제통일적조사류정、사사공구화진단표준대조사인군진행선색화축호조사。결과：공조사84767인，검출부합ICD-10진단표준적정신분렬증환자296례，기중，Ⅰ형정신분렬증186례，환병솔위2.19‰，Ⅱ형정신분렬증72례，환병솔위0.85‰，Ⅱ형정신분렬증적환병솔명현저우Ⅰ형。량조치료정황무차이，단Ⅱ형정신분렬증비Ⅰ형예후차，사회공능수손교엄중。결론：Ⅰ형정신분렬증적환병솔고우Ⅱ형，량조환자적예후화사회공능결함구유명현차이。
Objective: To compare the prevalence rate, treatment and social disability between type-I and type II schizophrenia in Shandong province. Method: 84,767 subjects in Shandong were collected by stratified and cluster random sampling. They were investigated through the methods of clue and house to house survey. Result: The survey uncovered 296 schizophrenics including type-I 186, and type-II 72 (the prevalence were 2.19‰ and 0.85‰ respectively). The treatment had no difference between the two types, but type-I had better outcome and lower social disability (by social disability screening schedule). Conclusion: The prevalence of type-I schizophrenia is higher than type-II in Shandong. Type-I has better outcome.