长沙市在册重性精神疾病患者现况分析

Situation of Registered Patients with Severe Mental Illness in Changsha

目的：掌握长沙市目前在册的重性精神疾病患者的现况,为加强重性精神疾病防控工作提供依据。方法：从国家重性精神疾病数据收集分析系统中导出截止2014年6月30日长沙市上报的所有重性精神疾病患者信息数据,进行统计分析。结果：长沙市累计登记在册的重性精神疾病患者21418例,患者检出率为3.00‰,实施管理的患者19048例,管理率为88.93%;男性9919例（46.31%）,女性11499例（53.69%）;将近4/5（79.32%）的患者属于18~59岁劳动力人口;患者文化程度偏低,初级及以下占3/4以上（75.78%）,大专以上文化仅占3.26%;有家族史仅4.47%;1/3以上（34.08%）的患者未婚或离婚;职业以农民为主,占患者总数一半以上（56.16%）;家庭贫困者较多,仅25.51%的患者属于非贫困家庭;绝大多数（88.98%）患者为精神分裂症,其余5种重性精神疾病合计仅占11.02%。结论：罹患重性精神疾病给患者本人、家庭、社会带来严重的影响,需要政府、社会给予更多的关心和帮助;长沙市在如何提高检出率,更好的做好患者管理等方面仍有大量工作要做。

Objective ：To grasp the situation of registered patients with severe mental illness in Chang sha and to provide the evidence for strengthening the prevention and control work of severe mental illness. Methods ： We explored and statistically analyzed the information data from the national data collection and analysis system of severe mental illness by the end of June 30,2014 in 21418 patients with severe mental illness accumulative total registered in Changsha. Changsha patients was 3.00%e, 19150 patients were managed and the management ratio was Results： There were , the detection rate of 89.41%. Male 9919 cases （46.31% ）, female 11499 cases （53.69%） ; almost 4/5 （79.32%） patients belonged to 18 - 59 years old labor force;Patients were generally with lower culture level,75.78% patients had primary edu- cation or even below primary, only 3.26% patients were junior college degree or above;Only 4.47% pa- tients had family history;34.08% patients were not married or had got divorced. 56.16% patients were farmers ; most patients were in poor families, only 25.51% were not in poor families ; 88.98 % patients be- longed to schizophrenia, only II. 02% patients belonged to other five severe mental illnesses. Conclu- sion：The government and society should give more care and help to the severe mental illness which has serious impacts on patients, their families and society;The city of Changsha still has a great job to do on improving the detection rate and management of patients better.