| 摘要: |
| 目的：观察认知行为疗法联合针刺治疗对精神分裂症缓解期患者认知功能和社会功能的影响。方法：将84 例精神分裂症缓解期患者按随机数字表法分为对照组和观察组，每组42 例。对照组给予认知行为疗法治疗，观察组给予认知行为疗法联合针刺治疗。采用精神分裂症简明认知功能成套测评量表（BACS）［包括语义流畅性（CF）、符号编码（SC）、数字序列（DS）、代币运动（TM）、言语记忆（VM）、字词流畅性（WF）、伦敦塔（TOL） 评分］、住院精神病人社会功能评定量表（SSPI）［包括生活自理能力（ADL）、活动和交往能力（A＆C） 和社会活动技能（SA） 评分］，评价2 组患者治疗前后认知功能、社会功能的变化。结果：2 组治疗前CF、SC、DS、TM、VM、WF、TOL 评分比较，差异无统计学意义（P＞0.05），治疗后各项评分均较治疗前显著升高（P＜0.05），且观察组各项评分均高于对照组（P＜0.05）；2 组ADL、A＆C、SA 评分及SSPI 总分均较治疗前明显升高（P＜0.05），且观察组各项评分均高于对照组（P＜0.05）。结论：认知行为疗法联合针刺治疗对精神分裂症缓解期患者认知功能和社会功能改善具有良好的促进作用。 |
| 关键词: 精神分裂症 认知行为疗法 针刺疗法 认知功能 社会功能 |
| DOI： |
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| 基金项目: |
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| Clinical Study on Cognitive Behavioral Therapy Combined with Acupuncture forPatients with Schizophrenia at Remission Stage |
| XIA Hua |
| (单篇PDF全文查阅请上中国知网下载阅读（中国知网电子版刊出时间：纸刊刊出日期一个月左右）) |
| Abstract: |
| Abstract： Objective： To observe the effect of the cognitive behavioral therapy combined with acupuncture on the
cognitive and social functions of patients with schizophrenia at remission stage. Methods： A total of 84 patients with
schizophrenia at remission stage were divided into the control group and the observation group by random number table
method， 42 patients in each group. The control group was treated with cognitive behavioral therapy， and the observation
group was treated with the cognitive behavioral therapy combined with acupuncture. With Brief Assessment of Cognition in
Schizophrenia(BACS)， including the Category Fluency(CF)， the Symbol Coding(SC)， the Digital Sequence(DS)， the Token
Movement(TM)， the Verbal Memory(VM)， the Word Fluency(WF) and the Tower of London(TOL)]， and Scale of Social
Function in Psychosis Inpatients(SSPI)， including the Activities of Daily Living(ADL)， the Activity and Communication(A&C)
and the Social Ability(SA)，the changes of cognitive function and social function were evaluated in the two groups before and
after treatment. Results：Before treatment，there was no significant difference in the comparison of the scores of CF，SC，
DS，TM，VM，WF and TOL between the two groups(P＞0.05)，and the above scores in each group after treatment were
significantly increased when compared with those before treatment(P＜0.05)； the above scores in the observation group
were higher than those in the control group(P＜0.05). The scores of ADL，A&C and SA as well as the total SSPI score in both
groups were significantly increased when compared with those before treatment(P＜0.05)， and the above scores in the
observation group were higher than those in the control group(P＜0.05). Conclusion：Cognitive behavioral therapy combined
with acupuncture has a good effect on the improvement of cognitive function and social function in patients with schizophrenia
at remission stage. |
| Key words: Keywords：Schizophrenia Cognitive behavioral therapy Acupuncture therapy Cognitive function Social function |
