101例惊恐发作患者诊断归属及发作场所调查

Diagnostic vesting and episodes place investigation in 101 patients with panic attacks

目的:分析101例惊恐发作患者诊断归属及发作场所变化。方法:对101例惊恐发作患者以美国精神障碍诊断与统计手册第4版(DSM-Ⅳ)轴Ⅰ障碍用定式临床检查-临床版(SCID-CV)进行诊断;采用自制问卷调查发作情况。结果:符合DSM-Ⅳ惊恐障碍90例(89.1%),广泛性焦虑障碍6例(5.9%),抑郁障碍3例(2.9%),强迫障碍及精神分裂症各1例。90例惊恐障碍患者中,首次发作场所为家中50例,公共场所31例,途中9例;76.6%患者常在初次发生发作的场所发作,23.4%发作场所没有倾向性,仅1例发作场所固定。11例非惊恐障碍患者首发场所为家中3例,公共场所8例;此后发作场所均不固定。结论:约90%惊恐发作患者诊断为惊恐障碍,首次多发作于家中,并且倾向于在初次发作的场所发作;非惊恐障碍患者发作场所不固定。

Objective： To analysis the diagnostic vesting and the change of episodes place in 101 patients with panic attacks.Method：The diagnosis was made by USA diagnostic statistical manual of mental disorders 4th edition （DSM-Ⅳ） with axis Ⅰ disorders structured clinical-clinical version （SCID-CV） in 101 patients with panic attacks,and the episodes place were investigated by questionnaire.Results：According to DSM-Ⅳ,90 cases （89.1%） were panic disorder,6 cases（5.9%）were generalized anxiety disorder,3 cases（2.9%）were depression disorder,and 1 case was obsessive-compulsive disorder or schizophrenia,rspectively.In the 90 panic disorder patients,the place of the first onset was at home in 50 cases,at public places in 31 cases,on the way in 9 cases.Thereafter the place of panic attack was more often in place of the initial attack in 76.6% cases,no preference in 23.4% cases,fixed in 1 case.In the 11 non-panic disorder patients,the place of the first onset was at home in 3 cases,at public places in 9 cases.Thereafter the place of panic attack was not fixed.Conclusion： Approximately 90% patients with panic attack are diagnosed to panic disorder;the first attack mostly is at home,and attack place is tend to the initial attack.The attack place in non-panic disorder patients is not fixed.