综合医院针灸科门诊焦虑抑郁障碍患病率调查与分析

Prevalence Survey of Anxiety and Depression among Outpatients in Department of Acupuncture and Moxibustion in General Hospital

目的:调查北京市某三级综合医院针灸科门诊患者中焦虑抑郁发生情况。方法:采用Zong焦虑量表(SAS)及抑郁量表(SDS)对门诊初诊患者进行筛查。粗分≥40的患者采用汉密尔顿抑郁量表17(HAMD17)、汉密尔顿焦虑量表(HAMA)进一步评估,并参照国际疾病分类第十版(ICD-10)关于焦虑、抑郁的诊断标准作出诊断。结果:筛查了针灸科门诊患者325例,男106例,女219例,焦虑抑郁障碍患病率为34.77%,其中女性患病率24%,男性患病率10.77%,女性明显高于男性。筛查为阳性的患者中,年龄≥40岁的占71.68%。结论:综合医院针灸科门诊就诊患者中焦虑抑郁障碍患病率较高,多数患者以疼痛等躯体不适就诊,易造成误诊漏诊。因此,应引起针灸科医师的重视,针灸科医师需要进行精神病基本常识培训,提高对相关疾病的识别率和治疗水平。

Objective：To investigate the prevalence rate of anxiety and depression among outpatients in the department of Acupuncture and Moxibustion in a 3A grade general hospital in Beijing. Methods：All the first-visit-outpatients were tested with Zung＇ s Self-rating Depression Scale （SDS） and Self-rating Anxiety Scale （SAS）. Outpatients of the group, of whose initial scores I〉40, were tested fur- ther with the 17-item Hamilton Depression Scale （HAMD17） and the Hamilton Anxiety Scale（HAMA）. And the diagnoses were made according to the 10th edition of International Classification of Disease Criteria （ICD10）. Results： Among 325 cases, 106 cases were male and 219 cases were female, disease rate of anxiety and depression disorder accounted for 34.77%, female accounted for 24% and male accounted forl0.77% in the category of sex. The Prevalence rate in female is significantly higher than that in male. People who are aged 40 and over accounts for 71.68 % among outpatients screened positive. Conclusion： There is a higher prevalence of anxiety and depression disorder among outpatients in the department of Acupuncture and Moxibustion in general hospital. Most patients are com- plained of physical malaise which easily resuhed in a misdiagnosis, more attention and training on basic knowledge of psychosis should be paid to doctors of department of Acupuncture and Moxibustion, so as to improve their ability of diagnosis and treatment.