2010～2014年中山市情感障碍住院患者的临床特征及诊断构成变化

Proportion change of clinical feature and diagnosis of hospitalized patients with mood disorder in Zhongshan City from 2010 to 2014

目的了解2010～2014年中山市情感障碍（MD）住院患者的临床特征与诊断构成变化趋势。方法采用回顾性分析的调查方法,收集2010年1月1日～2014年12月31日在本院住院治疗的MD患者的临床资料,内容包括性别、婚姻、发病年龄、确诊年龄等人口学资料及既往诊断,住院次数、出院诊断等临床资料。结果共收集932例MD患者的资料,其中20～29岁年龄段为住院年龄高峰（287例,30.8%）,30～39岁年龄段次之（262例,28.1%）。近5年MD的诊断率依次为10.4%、14.0%、16.4%、19.3%、18.9%。MD患者中,双相情感障碍（BPD）最多,占73.8%,其它依次为抑郁发作（10.4%）、躁狂发作（9.4%）、复发性抑郁障碍（6.0%）、持续性心境障碍（0.3%）、其它MD（0.1%）。结论 2010年～2014年本院MD住院患者以年轻人（20～40岁）居多,且MD的诊断率呈逐年增高趋势。BPD在本院MD住院患者中所占比例最多,这可能与近年本院精神科临床医生对BPD的识别水平提高有关。

Objective To understand the proportion change trend of clinical feature and diagnosis of hospitalized patients with mood disorder （MD） in Zhongshan City from 2010 to 2014. Methods Retrospective analysis was carried out, and data of all MD hospitalized in our hospital from January 1st 2010 to December 31st 2014 were collected,and the contents included demographics data like gender,marriage,age of onset and age at diagnosis and clinical data like prior diagnosis,hospitalized times and discharge diagnosis. Results Data of 932 cases of MD were collected,of whom the age group of 20 to 29 was the peak one in hospital（287 cases,30.8%）;age group of 30 to 39 took the second place （262cases, 28.1%）.Diagnosis rates of MD of this 5 years was successively 10.4%,14.0%,16.4%,19.3% and 18.9%.In the patients with MD,most of which were bipolar disorder （BPD）,accounting for 73.8%,others by turns were depressive episode （10.4%）,manic episode（9.4%）,recurrent depression（6.0%）,persistent mood disorder（0.3%） and other mood disorder（0.1%）. Conclusion Patients with MD in our hospital from 2010 to 2014 are mainly young people（20-40 years old）,the diagnosis of MD showed a trend of increase year by year.BPD accounts for the most among the MD hospitalized in our hospital,which is perhaps concerned with the improvement of the clinical psychiatrists＇ identify ability of BPD.