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目的:了解精神分裂症患者住院前的饮酒状况及其酒精使用障碍的共病率.方法:使用自编饮酒调查表、酒精使用障碍筛查量表(AUDIT)对542名住院精神分裂症患者院前的饮酒状况进行调查,根据美国精神障碍诊断与统计手册第5版(DSM-5)酒精使用障碍标准对筛查阳性者(AUDIT≥7)进行诊断.结果:精神分裂症患者男、女及总样本终生饮酒率分别是65.1％、42.2％、55.9％,年饮酒率分别是40.4％、27.2％、35.1％;年饮酒者中男、女及总样本AUDIT阳性率分别是40.3％、12.5％、31.7％.男、女及总样本酒精使用障碍时点共病率分别是9.1％、2.0％、6.2％,男性高于女性(x2=10.86,P=0.001).结论:本地区精神分裂症患者的饮酒率低于普通人群,且合并酒精使用障碍的诊断率低于西方发达国家.“,”Objective:To describe the prevalence of drinking and the comorbid of alcohol use disorder among the inpatients with schizophrenia before their admission.Methods:A total of 542 inpatients with schizophrenia were surveyed by a self-developed questionnaire to collect the general information and alcohol use.180 drinkers were screened for alcohol dependence by Alcohol Use Disorders Identification Test (AUDIT).57 participants who were screened positive (AUDIT ≥ 7) for alcohol dependence were diagnosed by trained psychiatrists with the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5) criteria.Results:The data of 513 participants whose information were complete were analysis.The total lifetime prevalence in the sample was 55.9％.The lifetime prevalence in male was 65.1％ where female was 42.2％.The total one-year drinking-rate was 35.1％.The one -year drinking-rate in male was 40.4％ where female was 27.2％.The point prevalence rates of patients screened positive (AUDIT≥7) were 40.3％,12.5％ and 31.7％ for male,female and the whole sample respectively in the one-year drinking patients.The point comorbid rate of alcohol use disorder were6.2％,and rate in male was higher than that in female (9.1％ VS 2.0％,x2 =10.86,P =0.001).Conclusion:The prevalence of drinking among patients with schizophrenia were lower than the general population,and the prevalence of alcohol use disorder were lower than developed countries.