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对符合CCMD-2诊断标准的211的住院儿童精神分裂症患者进行分析,发现具有临床意义的强迫症状者28例,占13.2%,表明强迫症状在儿童精神分裂症中并不少见。其临床症状以强迫怀疑、强迫穷思竭虑、强迫洗涤、强迫仪式动作为最多见,多数同时具有强迫观念和强迫动作,儿童精神分裂症的强迫症状常见于各种妄想出现之前,其特点是荒谬仪式的早期形成,以及其异常迅速的自动化;强迫症状与性别、年龄及疗效无关,需抗精神病药及三环抗抑郁剂联合治疗方能奏效。
Analysis of 211 schizophrenic inpatients who met the CCMD-2 diagnostic criteria found that 28 clinically significant obsessive-compulsive symptoms (13.2%) showed that obsessive-compulsive symptoms were not uncommon in schizophrenia in children. Its clinical symptoms to force the suspect, forcing exhaustion, forcibly washing, forced rituals for the most common, most with obsessions and forced action, obsessive-compulsive symptoms of schizophrenia in children common in all kinds of delusions before, which is characterized by The formation of absurd rituals and their exceptionally rapid automation; obsessive-compulsive symptoms have nothing to do with sex, age and efficacy, and antipsychotics and tricyclic antidepressant combination therapy can work.