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精神分裂症中难治性慢性精神病理学与CT扫描

Treatment resistant chronic psychopathology and CT scans in schizophrenia.

作者信息

Ota T, Maeshiro H, Ishido H, Shimizu Y, Uchida R, Toyoshima R, Ohshima H, Takazawa A, Motomura H, Noguchi T

出版信息

Acta Psychiatr Scand. 1987 Apr;75(4):415-27. doi: 10.1111/j.1600-0447.1987.tb02810.x.

Abstract

In order to examine the relationship between the neuroleptic resistant chronic psychopathology and CT findings in schizophrenia, 25 schizophrenics who had been treated well and were in a stable condition were assessed for positive and negative symptoms, CT findings, medication, and the clinical course of illness. Correlational analysis showed that there was a group of patients who had comparatively small ventricles and presented treatment resistant positive symptoms, and another group of patients who had larger ventricles and lacked positive symptoms. Negative symptoms showed a tendency toward positive correlation with atrophic CT changes of cortices. Literature on CT findings and symptomatology was critically reviewed. The importance of the more chronic positive symptoms correlating to CT findings in schizophrenia were discussed.

摘要

为了研究精神分裂症中抗精神病药物抵抗性慢性精神病理学与CT表现之间的关系,对25例病情得到良好治疗且处于稳定状态的精神分裂症患者进行了阳性和阴性症状、CT表现、用药情况及疾病临床过程的评估。相关性分析表明,有一组患者脑室相对较小且存在抗治疗的阳性症状,另一组患者脑室较大且无阳性症状。阴性症状与皮质萎缩性CT改变呈正相关趋势。对关于CT表现和症状学的文献进行了批判性综述。讨论了精神分裂症中更慢性的阳性症状与CT表现相关的重要性。

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