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目的了解河南省复退军人精神分裂症患者用药状况。方法先对所有参评人员进行统一培训,掌握评定标准。询问病史、全面精神及体格检查,审查有关档案资料,采用BPRS、GAS、SDSS等量表评定。用自制调查表调查抗精神病药物使用情况。结果共1250例退伍军人精神分裂症患者,用药700例(56.0%),未用药550例(44.0%),单用药物氯氮平39.91%,氯丙嗪18.44%,奋乃静3.97%,舒必利3.82%,利培酮1.43%,其它0.32%,联合用药32.11%。常合并抗胆碱能药和苯二氮卓艹类药。患者文化程度、婚姻状况、年龄、住院次数和病情状况是影响维持用药的因素。结论复退军人精神分裂症患者使用非经典抗精神病药为主,而未治疗率较高,需要地方政府部门的重视。
Objective To understand the medication status of schizophrenic patients in military regroups in Henan Province. Methods First of all participants were unified training, grasping the evaluation criteria. Ask medical history, a comprehensive mental and physical examination, review the relevant archives, using BPRS, GAS, SDSS and other scales assessment. Investigate antipsychotic use with home-made questionnaires. Results A total of 1250 cases of veterans with schizophrenia received medication 700 (56.0%), 550 (44.0%) without medication, clozapine alone 39.91%, chlorpromazine 18.44%, perphenazine 3.97% 3.82%, risperidone 1.43%, other 0.32%, combined with medication 32.11%. Often combined anticholinergics and benzodiazepine drugs. Patient education, marital status, age, number of hospitalizations and condition are the factors that influence the maintenance of medication. Conclusions The schizophrenic patients who have resumed military service use non-classical antipsychotics as the mainstay, while the non-treatment rate is high, which needs the attention of local government departments.