中医医院老年患者心身医学科会诊特点分析

Analysis of consultation characteristics for elderly patients in the department of psychosomatic medicine in Hospital of TCM

目的了解老年患者心身医学科会诊特点。方法选取我院心身医学科进行会诊的老年患者157例,对会诊科室、会诊原因、会诊后诊断进行分析。结果伴发精神障碍的老年患者以心脑血管病及消化系统疾病入院最为常见;伴发睡眠障碍为最常见的申请会诊原因;焦虑抑郁共病为最常见的会诊诊断;老年患者出现谵妄的概率较高。结论院内心身医学科可以为更多的患者提供精神科相关诊治,精神科专科会诊仍十分必要,心身医学科可以加强二者之间的联系,为患者提供更全面的服务。

Objective To analyze the characteristics of consultation for elderly patients in the department of psychosomatic medicine of our hospital. Methods 157 elderly patients accepting consultation in the department of psychosomatic medicine were analyzed. The aspects of analysis included the departments and reasons for consultations, and diagnoses after consultation. Results The most common diseases were cardiovascular, cerebrovaseular and digestive diseases in elderly patients complicated with mental disorders;the most common reason for consultation is associated with sleep disorders;the most common diagnoses of consultation is the mixed anxiety-depressive disorder;high risk of delirium was increased in elderly patients. Conclusion Diagnosis and treatment of psychiatric-related diseases provided by the department of psychosomatic medicine for many patients,at the same time,Consultation in Dept. of Psychiatry is also necessary. Therefore, the department of psychosomatic medicine as a bridge can strengthen the link providing comprehensive services for patients.