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本文报导了“行为康复疗法”密切结合开放管理措施对慢性精神分裂症康复效果所进行的前瞻性平行对照研究。入选病例均为男性,平均年龄为46.5岁,平均病期为20.98年,他们都属于无明显衰退的慢性精神分裂症患者。全部病例分为实验组与对照组,各组均为20例。观察指标则选用BPRS、Krawiecka、SANS、NOSIE以及NORS共5种量表。经过8个月的临床试验,从实验组在治疗过程中的自身对照(治疗前与治疗后逐月相比)来看,5种量表评分都显示逐渐上升的趋势;就实验组与对照组的平行对比而言,各种量表评分的差异都具有显著或极显著意义。故而,实施行为康复疗法的康复效果是无席置疑的。通过临床实践,实行逐步走向家庭及社会的开放管理可能是行为康复疗法进一步提高的一项重要的有效措施。从实际效果来看,这种开放管理可以激励和促进慢性精神分裂症患者的社会化功能正常化,值得进一步探索研究
This article reports a prospective, controlled, parallel study of behavioral rehabilitation therapies in combination with open management measures for the rehabilitation of chronic schizophrenia. The selected cases were all male, with a mean age of 46.5 years and a mean disease duration of 20.98 years, all of whom belonged to patients with chronic schizophrenia without obvious decline. All cases were divided into experimental group and control group, each group was 20 cases. Observational indicators were selected BPRS, Krawiecka, SANS, NOSIE and NORS a total of five kinds of scales. After eight months of clinical trials, five scales showed a gradual upward trend from the experimental group’s self-control (before treatment and after treatment on a monthly basis) in the course of treatment. In the experimental group and the control group For the parallel comparison, the differences of various scales have significant or significant significance. Therefore, the rehabilitation effect of behavioral rehabilitation therapy is beyond doubt. Through clinical practice, the gradual implementation of open management of family and society may be an important and effective measure to further improve behavioral rehabilitation. From a practical point of view, this open management can stimulate and promote the normalization of social function in patients with chronic schizophrenia, it is worth further exploration and research