总的来说：最保险的用药：氯氮平（不作首选药物），氨磺必利，奥氮平和利培

总的来说：
最保险的用药：氯氮平（不作首选药物），氨磺必利，奥氮平和利培酮。
重点治疗抑郁症状：氨磺必利、氯氮平、奥氮平、阿立哌唑以及喹硫平。
重点考虑生活质量方面：氨磺必利、氯氮平和舍吲哚。
首发精神分裂症患者用药的选择需要各方面综合考虑，应注意个体化用药。通过药物治疗，如果获得满意的治疗效果，那么防止复发将成为诊治的重点。因为反复发作不仅会使患者对药物敏感度下降，而且往往会造成认知功能下降和社会功能减退。单纯药物治疗对防止复发、改善社会功能、最终回归社会的效果有限。因此，包括心理治疗、精神康复等多元化的干预是不可或缺的。
药物治疗的目标：通过药物治疗，如果获得满意的治疗效果，那么防止复发将成为诊治的重点目标。另外，希望能改善患者的生活质量、提高患者的认知功能、减少患者的未治疗时间（DUP）、减少平均入院治疗天数、提高患者自制力、减少物质依赖和自杀想法，减少疾病体验和入院治疗相伴随的心理创伤，可以改善患者的依从性，减少复发率，防止潜在的、不可挽回的精神上或职业上的损害。
（二）心理治疗
1）支持性的心理治疗：
患者回归社会前应重视对慢性精神分裂症病人日常生活能力和社交能力的培训，为适应家庭生活、社会环境做好准备。
2）家庭心理治疗
重视患者的生活环境，及时解决家庭社会生活中的急、慢性应激，并给予支持性的心理治疗；对患者的家庭成员进行心理教育、家庭治疗。减少家庭成员不当的高情绪表达（过分关注和过分指责患者），为患者回归家庭营造宽松、和谐、温馨的环境，同时提高患者及家人应对精神分裂的技能，掌握精神分裂心理护理的基本知识。
心理治疗的目标：让患者回到正常生活当中，改善家庭关系。
（三）认知行为治疗
利用认知疗法的机制进行心理护理，帮助患者建立正确的认知。精神分裂症患者的起病、病情加重、复发与生活应激事件有较密切的关系，由于认知歪曲和认知错误产生不良情绪。
认知行为治疗目标：通过认知治疗纠正自动思维，建立合理认知和理性思维方式。
（四）利伯曼精神康复训练法
因为患者在患有精神分裂症的情况的同时有长期酗酒和药物依赖历史，所以利伯曼精神康复训练方法较为适合患者。
１）药物治疗的自我管理：该程式为精神科医生、护士和其他人员提供系统和有效的工具，用来使患者及其家属正确用药并成为有主见的药物消费者，在用药过程中得到最好的疗效。共分六部分 ①人际交往基本技能的训练；②介绍药物治疗自我管理程式；③传授有关抗精神疾病药物的知识；④讲述正确的自我用药方法；⑤教患者如何识别药物不良反应；⑥传授患者向医师求助的技能。
２）症状自我监控程式化训练：该程式的目的是教给患者能够认出复发的先兆症状，学会设计和实施预防复发的计划，以及处理用药物治疗效果不明显的持续症状。由于有了防止复发的计划，患者常能够避免复发或再住院。至少能够减轻复发症状、缩短复发持续时间或延长复发的间隔。该训练由四个部分组成 ①识别病人复发的先兆症状的知识和技能；②监控先兆症状的技能，使患者掌握将先兆症状及早控制的技能；③处置持续症状的技能训练；④在日常交往过程中拒绝饮酒和吸毒的技能。
3）回归社会技能训练程式：目的是训练患者能够适应正常的社会生活，通过训练使康复者继续接受医生治疗，从而减少病情的反复和再住院，最终回归社会。主要包括 ①正确处理来自社会压力的技能；②正确度过出院后闲暇时间的技能；③制订每天的活动计划的技能；④正确进行约会和遵守约会的技能；⑤寻找工作机会的技能的培训。
目标：总的来说，希望患者通过治疗稳定病情，帮助患者恢复社会功能，逐渐融入社会生活。

結果 (英文) 1:

In summary:The safest medication: clozapine (not as a drug of choice), amidosulphonic Bili, olanzapine and risperidone.Focus on treating depression: amino sulfonic Bili, clozapine, olanzapine, aripiprazole, quetiapine.Focus on quality of life: amidosulphonic Bili, clozapine and give indole.The choice of first-episode schizophrenic patients need all the considered, should pay attention to personalized medicine. With medication, if satisfactory treatment, relapse prevention will become the focus of treatment. Because of repeated attacks on drug sensitivity in patients with not only down, but tends to cause declines in cognitive function and social dysfunction. Pharmacotherapy for relapse prevention, improved social functioning and eventually return to society is limited. Therefore, including psychotherapy, psychiatric rehabilitation, such as diversification of intervention is indispensable.Goal of drug therapy: medications and if they get satisfactory treatment, relapse prevention will become the focus of treatment goals. Addition, hopes can improved patients of life quality, and improve patients of cognitive function, and reduced patients of not treatment time (DUP), and reduced average admitted treatment days, and improve patients homemade force, and reduced material rely on and suicide idea, reduced disease experience and admitted treatment phase with of psychological trauma, can improved patients of compliance sex, reduced recurrence rate, prevent potential of, and not save of spirit Shang or career Shang of damage.(B) of psychotherapy1) supportive psychotherapy:Before returning to society in patients with chronic schizophrenia patients should pay attention to the daily living and social skills training, ready to adapt to family life and social environment. 2) family therapyPaying attention to the living environment, timely resolution of acute and chronic stress in the social life of the family, and supportive psychotherapy; the patient's family member was psychology and family therapy. Reduce the high emotions of family members not to express (too much attention and too much blame patients), family reunification for the patient to create a relaxed, harmonious and warm environment and upgrading the skills of schizophrenic patients and their families, acquire basic knowledge of psychological nursing care of schizophrenia.The goal of psychotherapy: let patients return to normal life, improved family relationships.(C) the cognitive-behavioral therapyUsing the mechanism of psychological nursing care of cognitive therapy, and help establish a correct understanding. Schizophrenic patients have disease, aggravation, relapse has a close relationship with a stressful life event, due to cognitive distortions cognitive errors and bad moods.Cognitive-behavioral therapy goals: automatically through cognitive therapy to correct thinking, establish a rational cognitive and rational way of thinking.(Iv) Lieberman mental rehabilitation ActBecause the condition of the patients suffering from schizophrenia has a long history of alcoholism and drug dependence, so patients with mental rehabilitation method is more appropriate for Lieberman.1) medication self-management: the programs for doctors, nurses and other personnel to provide systematic and effective tool that is used to keep patients and their families the right medication and become independent of drug consumers, where drugs are in the process of getting the best results. ① part is divided into six basic interpersonal skills training; II introduces medication self-management programs; and aim at imparting knowledge about antipsychotic drugs about about the correct method of self-medication and ⑤ teaches patients to recognize adverse drug reaction; ⑥ impart skills of patients ask doctors for help.2) self-monitoring program training: the objective of the program is to teach patients to recognise the premonitory symptoms of recurrence, learn to design and implement plans to prevent recurrence, as well as the effect of medications used for treatment without obvious symptoms. Because of the relapse prevention plan, patients often can avoid relapse or readmission. Can at least alleviate the recurrence recurrence recurrence of symptoms, shorten or extend the duration of the interval. The training consists of four parts: ① identify the knowledge and skills of premonitory symptoms of relapse in patients second monitor prodrome skills, equip patients with premonitory symptoms early control of skills c disposal continued symptoms of skills training; II refused to drink alcohol in daily communication skills and drug abuse.3) social skills training program: the aim is to train patients to adapt to a normal social life, through the training to continue receiving medical care to its clients, thereby reducing repeated illness and readmission, and eventually return to society. Includes cyclophosphamide correctly handle pressure from social skills; II the right to spend leisure time after discharge skills ③ develop daily activity planning skills about correct dating and comply with dating skills ⑤ looking for job skills training.Target: overall, hope through treatment in patients with stable disease, and social function in helping patients recover, gradually integrate into the community.

結果 (英文) 3:

Overall:
most insurance medication: clozapine (not the drug of choice), amisulpride, olanzapine and risperidone.
depressive symptoms, key: amisulpride, clozapine, olanzapine, quetiapine, aripiprazole.
key consider quality of life: amisulpride, clozapine and sertindole.
first-episode schizophrenic patients medication choice needs to consider all aspects, should pay attention to personalized medicine. The drug treatment, if satisfactory treatment effect, so to prevent relapse will become the focus of the diagnosis and treatment of. Because of repeated attacks will not only make the patients on drug sensitivity drops,And will often cause a decline in cognitive function and social function decline. Eventually return to society to prevent recurrence, improve the social function, the effect of finite simple drug therapy. Therefore, including psychotherapy, psychiatric rehabilitation and other diversified intervention is indispensable.
the goal of drug therapy: treatment by drugs, if satisfactory treatment effect, so to prevent relapse will become a key target of diagnosis and treatment. In addition, the hope can improve the life quality of the patients, improve the cognitive function of the patients, reduce the time of patients without treatment (DUP), reduce the average hospitalization days of patients, improve self-control, reducing substance dependence and Dutch act idea,Reduce the experience of disease and hospitalization is accompanied by psychological trauma, can improve the compliance of patients, reduce the recurrence rate, prevent potential, irreversible mental or occupation of the damage.
(two)
1) psychotherapy psychotherapy supportive:
patients should pay attention to patients with schizophrenia by the daily life ability and social ability of chronic mental training before returning to the society, family life, ready to adapt to the social environment.
2)
the importance of family psychotherapy patients living environment, timely solve the family in the social life of urgent, chronic stress, and give the support of psychotherapy; psychological education to patients family members,