小李,一个英俊高大的小伙子。几年前,曾在我院住院治疗,诊断:精神分裂症。出院后,一直坚持服药,而且还能上班,工作任务完成出色,其父看到他这种状况,心里非常高兴,认为儿子的病已经彻底好了,不用服药。但停药不到半年,小李的病复发了。后来其父多次到医院来咨询。问:“有没有一种药,吃了以后不再复发?”那么,精神分裂症患者要终生服药吗? 这也是当今精神医学工作者关心的问题之一。医生认为,需要长期服药巩固,这“长期”又是指多少时间呢?或3~5年,或7~8年,甚至延续更长的时间。到目前为止,还没有人能明确指出精神分裂症病人应该在临床治愈后还要继续服药多长时间,症结在于现在人类医学还未查明精神分裂症的病因何在,目前只是对症治疗。有朝一日病因查明了,预防精神分裂症就像预防小儿麻痹症吃几粒糖丸那样方便地获得终身免疫。我们广大的精神医学工作者正在朝这方面努力,直至今日还未达到这一步,那么只好用较长时期服药来巩固治疗效果。 由于抗精神病药物的副作用较大,许多患者都不愿长期吃药,加上家属出于对患者的关心,在家里随意给病人加药或减药,甚至停药,使疾病复发。 我们认为,精神分裂症住院或门诊治疗获得临床治愈之后,应注意以下几点: 1、在有经验的医师指导下服药,减药或停药。 2、仍在服药的病人应坚持力所能及的劳动,以利锻炼体质。 3、必须让病人明白,在巩固治疗期的精神状态仍不如常人,不必争强好胜,避免超常激烈的体力和脑力劳动,以图久安后福。
(编辑:蔡旭旭 )
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