老年精神科病人的躯体共病性研究

Somatic comorbidity among patients of psychiatric department of geriatrics

目的 探讨老年精神科病人躯体疾病共病情况及其意义。方法 调查 198例老年精神科病人的精神科诊断、合并躯体疾病情况及精神疾病的疗效等资料。结果 91.4%的病人同时合并有躯体疾病 ,每一病人合并的躯体疾病的病种数平均为 1.6 5。合并的躯体疾病多见的是肺部感染、脑血管病、高血压病、心脏病、糖尿病和慢性阻塞性肺疾病等。 logistic回归发现 ,病人诊断为Alzheimer病、合并躯体疾病的病种数量及合并有脑血管病均为影响精神障碍疗效的不利因素。结论 老年精神科病人的躯体共病现象具有普遍性 ,其躯体疾病分布具有普通老年科病人的特点。躯体共病影响精神疾病的疗效预后及老年精神科的临床工作模式。

Objective To study the comorbidity of somatic diseases and its significance among patients of psychiatric department of geriatrics. Methods The data about psychiatric diagnoses, co existing somatic diseases and curative efficacy of mental diseases were investigated among 198 patients. Results 91.4% of patients co existed somatic diseases, and the mean of sort of somatic diseases among each patient was 1.65. Somatic diseases mainly included pulmonary infection, cerebral vascular disease (CVD), hypertension, heart disease, diabetes mellitus (DM) and chronic obstructed pulmonary disease (COPD), etc. By logistic regression, it was found that Alzheimer's disease (AD), the numbers of somatic diseases and co existing CVD were disadvantageous factors of the curative efficacy of mental diseases. Conclusions The comorbidity of somatic diseases is common among patients of psychiatric department of geriatrics and it affects treatments and curative efficacy of mental diseases. Furthermore, the comorbidity influences the clinical model of psychiatric department of geriatrics.