部队多次住院精神障碍患者的住院特征分析

General characteristics analysis of military psychiatric patients readmitted for several times

目的:了解部队多次(2次及2次以上)住院精神障碍患者的住院情况.方法:随机从2001-01/2005-12部队多次住院精神障碍患者中抽取1000名,以CCMD-3为诊断标准,进行回顾性病例分析.结果:部队多次住院精神障碍患者以士兵(60.2%)为主,男性(93.3%)占绝大多数,精神分裂症(80.5%)和情感性精神障碍(9.3%)是最常见的二种疾病诊断类型,癔症和神经症所占比例分别为2.9%和2.5%.在多次住院患者中,精神分裂症所占的比例(80.5%),高于它在全体住院患者中所占的比例(72.8%).多次住院患者的平均住院次数为3.8次,平均每次住院时间为(73.8±70.7)d.结论:精神分裂症、情感性精神障碍、癔症和神经症是部队精神障碍预防和诊治的主要病种.

AIM： To explore the status of military psychiatric patients readmitted for 2 times or more. METHODS： The records of 1000 psychiatric patients who were randomly sampled from the entire psychiatric patients readmitted for several times in army from 2001-01 to 2005-12 were analyzed retrospectively based on CCMD-3. RESULTS： Most of the readmitted records were soldiers （60. 2% ）, male （93. 3% ）. The two most common kinds of mental diseases were schizophrenia （80.5%） and affecfive disorders （9.3%）. The percentages of dissociative disorders and neuroses were 2.9% and 2.5% respectively. The percentage of schizophrenia （80.5%） in these patients was higher than that in general psychiatric patients （72.8%）. There was 3.8-times readmission in average. The average period for hospital stay was （73.8 ± 70.7 ） d. CONCLUSION： Schizophrenia, affective disorders, dissociative disorders and neuroses are the main mental disorders in military forces and deserve more attention.