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汪辉耀, 聂 虎, 郭万军等.综合医院精神科急诊精神障碍现状调查.四川大学学报(医学版),2016,47(2):292-294
综合医院精神科急诊精神障碍现状调查
Mental Disorders in Psychiatric Emergency Services of a General Hospital
  
中文关键词:  精神科急诊 精神障碍 综合医院
英文关键词:Psychiatric emergency Mental disorder General hospital
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中文摘要:
      目的 了解综合医院急诊科精神疾病患者的病种分布及其诊治情况。方法 回顾性调查2014年7月1日至2015年6月30日于四川大学华西医院急诊精神科诊断室就诊的精神疾病患者,采用自编调查表收集患者的一般人口学资料和诊治情况等信息。采用Pearson χ2 检验比较各病种相关因素的组间差异。结果 1年时间内,共有520例精神疾病患者就诊于四川大学华西医院急诊精神科诊断室,其中男性212例(40.8%),女性308例(59.2%);病种主要为“精神分裂症、分裂型障碍和妄想性障碍”(175例,33.7%),“心境障碍”(106例,20.4%),“神经症性、应激相关的及躯体形式障碍”(113例,21.7%)三类,诊断为待诊状态的有50例(9.6%)。520例患者中,168例(32.3%)办理入院进一步治疗,在急诊临时用药方面,抗精神病药(130例,25.0%)和苯二氮卓类药(218例,41.9%)的使用频率较其它类药物高。结论 综合医院急诊科常见精神疾病病种主要为“精神分裂症、分裂型障碍和妄想性障碍”“心境障碍”“神经症性、应激相关的及躯体形式障碍”三大类,但各有特点,且有部分患者诊断不明确,应根据各病种特点有针对性的进行干预。
英文摘要:
      Objective To investigate the distribution, diagnosis and treatment of patients with mental disorders in emergency department of a large general hospital. Methods Records of patients with mental disorders, who came for psychiatric diagnosis in the emergency department of West China Hospital of Sichuan University, during 1 July 2014 to 30 June 2015 were reviewed. Data about demographic characteristics, diagnosis and treatment of those patients were extracted and analyzed. Results A total of 520 patients were included in the analysis: 212 male (40.8%) and 308 female (59.2%). Three most common disorders were “Schizophrenia, Schizotypal disorder and Delusional disorder” (175 cases, 33.7%), “Mood disorder” (106 cases, 20.4%) and “Neurosis, Stress related and Somatoform disorder” (113, 21.7%). 50 (9.6%) patients were not confirmed with a diagnosis. Conclusion Common mental disorders in the emergency service of this hospital include “Schizophrenia, Schizotypal disorder and Delusional disorder”, “Mood disorder”, and “Neurosis, Stress related and Somatoform disorder”. Diagnosis of some patients is unclear. A wide range of treatment regimen should be made available.
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