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目的：观察并探讨认知心理治疗对首发精神分裂症患者的疗效。方法：时间限定为 2017 年 11 月到 2019 年 11 月，将此期间的 102例首发精神分裂症患者临床资料为研究对象，利用 excel 表格将其等分，各 51 例，实施常规药物治疗的设置为对照组，在此基础上实施认知心理治疗的设置为研究组，将两组相关临床数据以及治疗有效率作为对比指标。结果：治疗?束后，研究组 HAMD、HAMA 以及 PSP 评分均与对照组相比更为理想，组间差异明显（P＜0.05）；较之对照组，研究组患者治疗总有效率明显较高，数据差异明显（P＜0.05）。结论：在常规治疗基础上对首发精神分裂症患者实施认知心理治疗具有显著效果，能够在很大程度上改善患者心理状态，提升患者生活质量，值得推广。“,”objective: to observe and investigate the effect of cognitive psychotherapy on first-episode schizophrenics. Method: the time limit for the November 2017 to November 2019, during the clinical data of 102 patients with first-episode schizophrenia as the research object, using the excel spreadsheet to be equal, each 51 cases, the implementation of routine drug treatment is set to the control group, on the basis of the implementation of cognitive psychotherapy is set to the team, will be two groups of related clinical data and treatment efficiency as an index of contrast. Results: after the treatment, HAMD, HAMA and PSP scores in the study group were better than those in the control group, with significant differences between the groups (P < 0.05). Compared with the control group, the total treatment efficiency of patients in the study group was significantly higher, and the data difference was significant (P < 0.05). Conclusion: on the basis of conventional treatment, cognitive psychotherapy has a significant effect on first-episode schizophrenics, which can greatly improve their psychological state and improve their quality of life.