神经内科门诊抑郁障碍患者的临床特点

目的分析神经内科门诊抑郁障碍患者的临床特点。方法采用中文版抑郁自评量表(CER-D)对在郑州大学附属郑州中心医院神经内科门诊接受治疗的320例患者进行初诊筛查,参照国际疾病分类(第10版)对诊断为抑郁障碍的39例患者进行汉米尔顿抑郁量表(HAMD)评分。结果经神经内科门诊初诊为抑郁障碍患者的比例约为12.2%。抑郁障碍患者在门诊主诉以失眠、头晕、乏力频率最高。HAMD评分值为(16.8±3.8)分。这说明患者的抑郁障碍属轻度或中度水平,仅出现失眠、焦虑等症状,无明显全身症状。对抑郁障碍患者进行归因分类,其中,躯体因素构成比为69.2%,心理因素构成比为23.1%。结论神经内科门诊抑郁障碍患者多以失眠、焦虑等轻微症状为主,且患者人数呈增多趋势,抑郁障碍亟需引起关注。

Objective To investigate neurological outpatient department of internal medicine and clinical characteristics of patients with depressive disorder. Methods 320 outpatients whose initial visit were in the department of neurology were screened using CES-DoAmong them,39 patients were diagnosed as depressive disorder according to the ICD-10.then evaluated by HAMD. Results More patients felt they are difficult in falling sleep, anxiety and so on. Conclusion Much more attention should be paid to depressive disorder among outpatients.