摘要:目的 探讨Ⅰ型和Ⅱ型精神分裂症在远期疗效、依从性、社会功能的异同。 方法 应用SDSS、ADL和自编量表等对134例Ⅰ型和Ⅱ型精神分裂症对照随访研究3年。 结果 Ⅰ型精神分裂症依从性好于Ⅱ型精神分裂症，Ⅱ型精神分裂症依从性差原因与固有病理过程及家人的不重视有关。Ⅱ型精神分裂症社会功能及远期疗效均差于Ⅰ型精神分裂症。 结论 Ⅰ、Ⅱ型精神分裂症远期疗效及社会功能均不佳，Ⅱ型依从性差和社会功能受损害均比Ⅰ型明显。Ⅱ型远期疗效要比Ⅰ型差。

    关键词:Ⅰ型分裂症;Ⅱ型分裂症;随访

    Comparative study on the long-term therapeutic effect and compliance as well as social function of typeⅠand typeⅡschizophrenia patients after a follow-up of three years.

    CHEN Shao-shi，WU Chuan-dong，YANG Qing-xiong，et al.

    (Hainan Provincial Anning Hospital，Haikou.571100，Hainan.P.R.China)

    Abstract:Objective To compare the long-term therapeutic effect，compliance and social function in typeⅠand typeⅡschizophrenia patients. Methods Totally134typeⅠand typeⅡschizophrenia patients were comparatively investigated with brief psychiatric rating scale(BPRS)，social defect scale(SDSS)，activities of daily living(ADL)and self designed questionnaire during a follow up of three years. Results The compliance of typeⅠschizophrenia patients was better than those of typeⅡschizophre-nia patients.The causes of poor compliance were associated with pathological progress and the attitude of the family members to the patients.The social function and long-term effect typeⅡschizophrenia patients were poor as compared with that of typeⅠschizophrenia patients. Conclusion The social function and long-term effect on typeⅠand typeⅡschizophrenia patients are not satisfactory and the compliance and social function of typeⅡschizophrenia patients were not as good as those of type schizophre-nia patients. ......