精神科联络会诊现状及其效果评价

Evaluation of consultation liaison psychiatry status quo and effect

目的：探讨精神科联络会诊现状及临床效果。方法对精神科联络会诊的359例患者的临床资料进行回顾性分析。结果总会诊率占同期住院患者的4．5％，其中神经内科9．9％、心内科7．0％、综合病房4．0％、消化内科3．4％、呼吸内科2．5％、外科1．8％。诊断：神经症占61．3％、躯体疾病所致精神障碍占21．7％、脑器质性疾病所致精神障碍占12．8％、非精神科诊断占4．2％。多以抗抑郁剂及抗精神病药物治疗为主，部分患者予以心理治疗或转入精神科接受治疗；显效率89．1％，总有效率98．3％。结论综合医院住院患者病种繁多，病情复杂，精神科联络会诊对鉴别诊断具有实际的临床价值。

Objective To explore consultation liaison psychiatry status quo and clinical effect .Methods Retrospective analyses of clinical data of 359 patients who undergone consultation liaison from Jan .2011 to Feb .2013 in our hospital were conducted .Results Total consultation rate made up 4 .5% of contemporaneous inpatients ,of the total neurological 9 .9% ,cardiological 7 .0% ,general 4 .0% ,digestive 3 .4% , respiratory 2 .5% and surgical 1 .8% .Diagnoses were that neurosis made up 61 .3% ,mental disorder due to systematic diseases 21 .7% ,mental disorder due to organic brain diseases 12 .8% and non-psychiatric diagnosis 4 .2% .Antidepressants and antipsychotics treatment were main ,partial patients received psychotherapy or were switched in to psychiatric department to receive treatment ;obvious and total effective rate were respectively 89 .1% and 98 .3% .Conclusion General hospital inpatients’ kinds of diseases are various and condition complex ,consultation liaison psychiatry has practical clinical value to differential diagnosis .