影响临床分裂症诊断准确性的因素分析

Analysis on the factors affecting the diagnosis of schizophrenia

目的探讨临床医师对分裂症诊断准确性的影响因素。方法连续收集我院某个季度出院诊断为分裂症的归档病历,判断其主要精神症状是否符合CCMD-3分裂症症状学标准,并分析影响诊断准确性的因素。结果(1)入院诊断完全符合分裂症症状学标准107例(79.9%),不符合的27例(20.1%);(2)出院诊断完全符合症状学标准的有120例(89.6%),完全不符合的14例(10.4%);(3)影响医师准确诊断的因素有门诊医师的职称、患者的年龄和职业。结论临床医生有必要提高对分裂症诊断的准确性。

Objective To investigate the factors affecting the diagnosis of schizophrenia for clinician. Methods Medical records of patients who were diagnosed mainly to be schizophrenia when discharged were collected. Whether their psychiatric symptoms were accordant to the diagnostic criteria of schizophrenia by CCMD-3 were evaluated. Results （1） There were 107 patients （79.9%） whose hospitalization diagnosis were consistent with the diagnostic criteria of semiology of schizophrenia completely. And 27 patients （20.1%） were not. （2） There were 120 patients （89.6%） whose discharged diagnosis were consistent with the criteria. And 14 （10.4%） were not. （3）The accurate degree of discharged diagnosis were associated with level of out-patient clinician, age and career of patients. Conclusions It is necessary to improve the accurate degree of diagnosis of schizophrenia for clinician.