CAJ | 학술논문

目的：分析浙江某山区小学校园一起集体性癔症事件。方法：采用现场流行病学、卫生学、精神病学等方法对发生学校的卫生以及学生发病情况等进行全面调查。结果：首发者表现为胃部不适、恶心、呕吐；此后3 d 相继有28例分布在相邻的寝室的住校生出现相似症状；女生（85.71±）明显多于男生（14.29±）（P ﹤0.01）；病情与病程明显受暗示影响。实验室检查未检出致病菌；用餐情况分析食物与本次发病无关。结论：小学生群体癔症发作以躯体功能障碍（转换型）表现形式为主，心理暗示和引导可明显影响其病情变化。
목적：분석절강모산구소학교완일기집체성억증사건。방법：채용현장류행병학、위생학、정신병학등방법대발생학교적위생이급학생발병정황등진행전면조사。결과：수발자표현위위부불괄、악심、구토；차후3 d 상계유28례분포재상린적침실적주교생출현상사증상；녀생（85.71±）명현다우남생（14.29±）（P ﹤0.01）；병정여병정명현수암시영향。실험실검사미검출치병균；용찬정황분석식물여본차발병무관。결론：소학생군체억증발작이구체공능장애（전환형）표현형식위주，심리암시화인도가명현영향기병정변화。
To explore epidemiological features of present collective hysteria occurred in a primary school in Zhejiang Province. Method:The hygiene in the school and the incidence of the students were surveyed completely with the field epidemiology,health sciences,psychiatry. Results:The first case ap-peared as upset stomach,nausea and vomiting. Since then,28 resident student who distributed the adjacent dormitory appeared similar symptoms in the following three days,and schoolgirls(85. 71± )more than school-boys(14. 29± )( P ﹤ 0. 01). The condition and course of the disease in those cases were obviously affected by the hint. The pathogenic bacteria did not be checked out by laboratory examination. Dining situation analysis showed that there was no correlation between the food and this illness. Conclusion:Somatic dysfunctions (conversion)are the main manifestations of group hysteria attack in primary school students,psychological sug-gestion and guidance will directly affect the development of the illness.