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住院精神障碍患者共病神经系统疾病的状况调查 被引量:2

A survey on pschiatric inpatients combined with nervous system diseases
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摘要 目的 探讨精神病院住院患者精神障碍与神经系统疾病共病的特征.方法 研究对象为2012年5-11月天津市安定医院602例住院精神疾病患者,按患者入院顺序并于入院5d后依次进行调查.精神障碍及神经系统疾病的诊断参照国际疾病分类第10版(ICD-10)诊断标准.结果 602例精神疾病住院患者中共病神经系统疾病72例,共病率为12.0%;共病的神经疾病主要是脑梗死、癫(痫)和帕金森病,共病率分别为7.5%(45例)、4.2%(25例)、0.3%(2例),以脑梗死共病率最高.精神分裂症、双相障碍、抑郁障碍、器质性精神障碍、使用酒精所致的精神和行为障碍患者平均年龄分别为(55±10)、(50±7)、(52±7)、(58±10)和(47±4)岁,差异无统计学意义(F=0.298,P=0.878);性别比(男/女)分别为21/10、5/2、1/3、24/4、2/0,其间差异有统计学意义(x2=34.566,P=0.000);神经系统疾病共病率分别为7.1%(31/439)、11.9% (7/59)、11.4%(4/35)、90.3%(28/31)和9.1%(2/22),差异有统计学意义(x2=169.7,P=0.000),以器质性精神障碍的神经系统疾病共病率最高.结论 精神障碍患者神经系统疾病共病率较高,常伴发的神经系统疾病为脑梗死、癫(痫)和帕金森病,以脑梗死最为常见;精神障碍共病神经系统疾病具有一定的年龄和性别特征,共病率以器质性精神障碍者最高. Objective To study the state of neuropathy comorbidities of patients with mental disorders,and to deplore the characters of neuropathy comorbidities in psychiatric hospital.Methods A consecutive series of 602 patients with mental disorders were surveyed on their neuropathy comorbidities after five days of hospitalization from May to November,2012 in Tianjin Anding hospital.Both mental disorders and nervous system diseases were diagnosed according to the diagnostic criteria from international classification of diseases (ICD)-10.Results The comorbidity of nervous system diseases including cerebral infarction,epilepsy and parkinson's disease,was 12.0% in 602 inpatients,and that of cerebral infarction was 7.5% (45/602),showing the highest level in neuropathy comorbidities.Between the five kinds of mental disorders patients,there were differences of the mean age (F =0.298,P=0.878) and the gender ratio (x2 =34.566,P =0.000).The neuropathy comorbidities were different among the five kinds of mental disorders(x2 =169.7,P =0.000),and that of organic psychosis was 90.3% (28/31),showing the highest level in mental disorders.Conclusions The psychiatric inpatients have a high level of neuropathy comorbidities,especially organic psychosis.The cerebral infarction,epilepsy and parkinson's disease are mostly common in neuropathy comorbidities.There is a close relation among psychosis neuropathy,age and sex characters.
出处 《中国医药》 2013年第8期1104-1106,共3页 China Medicine
关键词 精神障碍 住院病人 共病现象 神经系统疾病 Mental disorders Inpatients Comorbidity Nervous system diseases
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